Organization
LIV IN-HOME COUNSELING AND CARE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY ANN LOOS LCSW (OWNER/MEMBER)
(307) 221-5409
Entity
Organization
Contact information
Practice address
1745 SILVER SPUR RD, CHEYENNE, WY 82009-1206
(307) 221-5409
Mailing address
PO BOX 20092, CHEYENNE, WY 82003-7002
(307) 221-5409
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
663
WY
253Z00000X
In Home Supportive Care Agency
663
WY
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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