Organization
HARKINS THERAPY SERVICES LLC
Active
Other names
Mountain West Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE HARKINS LCSW (OWNER)
(307) 235-3333
Entity
Organization
Contact information
Practice address
1300 E A ST STE 201, CASPER, WY 82601-2252
(307) 235-3333
Mailing address
3580 VALLEY RD, CASPER, WY 82604-4906
(307) 267-1792
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135466300
—
WY
Enumeration date
12/17/2019
Last updated
09/17/2024
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