Organization
BRAIN ADVANCEMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMI R. MILLER (OWNER)
(307) 274-4749
Entity
Organization
Contact information
Practice address
2005 WARREN AVE., CHEYENNE, WY 82001
(307) 274-4749
(307) 274-4749
Mailing address
2005 WARREN AVE, CHEYENNE, WY 82001
(307) 274-4749
(307) 274-4749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
10/27/2020
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