Cullen, Leilani Ray

Cullen, Leilani Ray is an individual health care provider with primary practice located at 203 N 6Th St Ste A , Douglas WY 82633-2411. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Cullen, Leilani Ray can be contacted via phone (307) 242-1472.

Contact Information

Primary practice address
203 N 6Th St Ste A Douglas WY 82633-2411
Phone: (307) 242-1472
Fax: (307) 624-6254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 913 Colorado
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 240 Hawaii
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 254 Wyoming

Profile Details

NPI number 1023338837
LBN Legal business name Cullen, Leilani Ray
Credentials MA LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2010
Last updated Jan 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023338837 NPPES
Colorado MEDICAID 14924323

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