Organization
PATHWAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY LYNN HAMMER (OWNER)
(307) 721-0700
Entity
Organization
Contact information
Practice address
1575 N 4TH ST, SUITE #103, LARAMIE, WY 82072-2091
(307) 721-0700
(307) 721-1039
Mailing address
1575 N 4TH ST, SUITE #103, LARAMIE, WY 82072-2091
(307) 721-0700
(307) 721-1039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05617001
BLUE CROSS BLUE SHEILD
WY
05
—
119619700
—
WY
Enumeration date
09/26/2006
Last updated
09/06/2016
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