Organization
MILES AHEAD COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY METLI LCSW (PRESIDENT)
(307) 797-8377
Entity
Organization
Contact information
Practice address
145 S DURBIN ST STE 104, CASPER, WY 82601-2565
(307) 797-8377
(833) 300-9764
Mailing address
145 S DURBIN ST STE 104, CASPER, WY 82601-2565
(307) 797-8377
(833) 300-9764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155663100
—
WY
Enumeration date
04/28/2020
Last updated
11/27/2020
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