Organization
HIRAETH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXANN ADRIAN SHOOK LPC (OWNER)
(307) 331-8993
Entity
Organization
Contact information
Practice address
4915 NIMMO DR, CHEYENNE, WY 82009-4808
(307) 331-8993
Mailing address
4915 NIMMO DR, CHEYENNE, WY 82009-4808
(307) 331-8993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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