Himes, Amy

Himes, Amy is an individual health care provider with primary practice located at 501 S Burma Ave , Gillette WY 82716-3426. 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. Himes, Amy can be contacted via phone (307) 688-8051.

Contact Information

Primary practice address
501 S Burma Ave Gillette WY 82716-3426
Phone: (307) 688-8051
Fax: (307) 688-5008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-143 Wyoming

Profile Details

NPI number 1881846038
LBN Legal business name Himes, Amy
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Jun 29th, 2011 - about 15 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 1881846038 NPPES
Wyoming MEDICAID 83-0234097

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