Organization
LIV IN-HOME COUNSELING & CARE MANAGEMENT, LLC
Active
Other names
LIV Health
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY ANN LOOS LCSW (PRESIDENT & CEO)
(307) 630-4729
Entity
Organization
Contact information
Practice address
2500 DELL RANGE BLVD, CHEYENNE, WY 82009-5273
(307) 630-4729
Mailing address
PO BOX 20092, CHEYENNE, WY 82003-7002
(307) 630-4729
(307) 969-7075
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
251B00000X
Case Management Agency
663
WY
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149078
—
WY
Enumeration date
02/06/2014
Last updated
10/08/2024
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