Organization
OUTSIDE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSE PFANKUCH MA LPC (THERAPIST)
(307) 221-0317
Entity
Organization
Contact information
Practice address
1918 THOMES AVE, CHEYENNE, WY 82001-3527
(307) 313-2777
Mailing address
4726 MOUNTAIN RD APT 520, CHEYENNE, WY 82009-5157
(307) 221-0317
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/27/2024
Last updated
04/05/2025
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