Organization
HOLISTIC COMMUNITY SERVICES-A DIFFERENT WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANAYMIE KASMIRA GODFREY LAT,MAC,LPC (THERAPIST/CO-DIRECTOR)
(307) 655-2321
Entity
Organization
Contact information
Practice address
614 BROOKSIDE PL, DAYTON, WY 82836
(307) 655-2321
Mailing address
614 BROOKSIDE PL, DAYTON, WY 82836
(307) 655-2321
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAT #292; LPC #951
WY
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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