Organization
WYOMING PATH BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PETERSON (OPERATOR)
(307) 840-3594
Entity
Organization
Contact information
Practice address
431 MAIN ST, LANDER, WY 82520-3145
(307) 857-3111
Mailing address
431 MAIN ST, LANDER, WY 82520-3145
(307) 857-3111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
08/15/2024
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