Organization
COURAGE TO CHANGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DENAEYER LPC (OWNER)
(307) 622-8616
Entity
Organization
Contact information
Practice address
113 S. GILLETTE AVE, GILLETTE, WY 82716
(307) 622-8616
(307) 363-4339
Mailing address
PO BOX 1964, GILLETTE, WY 82717-1964
(307) 622-8616
(307) 363-4339
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
716
WY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC716
WY
Other
Enumeration date
02/18/2016
Last updated
05/04/2016
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