Caroljean Bongo Psyd Llc

LBN: Caroljean Bongo Psyd Llc
Caroljean Bongo Psyd Llc is an health care organization with primary practice located at 2909 Bent Ave , Cheyenne WY 82001-2742. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Caroljean Bongo Psyd Llc can be contacted via phone (307) 760-1871, or through Bongo, Caroljean via phone (307) 760-1871.

Contact Information

Primary practice address
2909 Bent Ave Cheyenne WY 82001-2742
Phone: (307) 760-1871
Fax: (866) 621-1893
Website:
Map and Directions
Authorized official contact:
Name: Bongo, Caroljean PSYD
Phone: (307) 760-1871

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 432 Wyoming

Profile Details

NPI number 1821297102
LBN Legal business name Caroljean Bongo Psyd Llc
DBA Doing business as
Authorized official Bongo, Caroljean PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821297102 NPPES
Wyoming MEDICAID 124350100

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