Organization
TAKE TIME COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY ANN FAILES MS LPC LAT (OWNER/CLINICAL THERAPIST)
(307) 262-2787
Entity
Organization
Contact information
Practice address
2510 E 15TH ST, SUITE11, CASPER, WY 82609-4111
(307) 262-2787
(307) 234-9989
Mailing address
PO BOX 1375, EVANSVILLE, WY 82636-1375
(307) 262-2787
(307) 234-9989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAT 269
WY
101YM0800X
Mental Health Counselor
LPC 732
WY
101YP2500X
Professional Counselor
Primary
LPC 732
WY
251S00000X
Community/Behavioral Health Agency
LAT 269
WY
251S00000X
Community/Behavioral Health Agency
LPC 732
WY
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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