Fern Ridge Counseling, Llc

LBN: Fern Ridge Counseling, Llc
Fern Ridge Counseling, Llc is an health care organization with primary practice located at 1120 Beck Ave , Cody WY 82414-3624. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Fern Ridge Counseling, Llc can be contacted via phone (307) 578-7601, or through Potter, Neisha M via phone (307) 578-7601.

Contact Information

Primary practice address
1120 Beck Ave Cody WY 82414-3624
Phone: (307) 578-7601
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Potter, Neisha M Licensed Clinical Social Worker (LCSW)
Phone: (307) 578-7601

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-1090 Wyoming

Profile Details

NPI number 1124521547
LBN Legal business name Fern Ridge Counseling, Llc
DBA Doing business as
Authorized official Potter, Neisha M Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2018
Last updated Aug 24th, 2021 - about 3 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 1124521547 NPPES
Wyoming MEDICAID 149339600
Wyoming MEDICAID 143514100

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