Living Well Pc

LBN: Living Well Pc
Living Well Pc is an health care organization with primary practice located at 2510 E 15Th St Suite 11, Casper WY 82609-4111. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Living Well Pc can be contacted via phone (307) 234-9979, or through Miller, Tricia R via phone (307) 234-9979.

Contact Information

Primary practice address
2510 E 15Th St Suite 11 Casper WY 82609-4111
Phone: (307) 234-9979
Fax: (307) 234-9989
Website:
Map and Directions
Authorized official contact:
Name: Miller, Tricia R MSW
Phone: (307) 234-9979

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 465 Wyoming
Behavioral Health & Social Service Providers / Clinical 1041C0700X 603 Wyoming
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1326342023
LBN Legal business name Living Well Pc
DBA Doing business as
Authorized official Miller, Tricia R MSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2011
Last updated May 1st, 2015 - about 9 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 1326342023 NPPES
Wyoming MEDICAID 130674000

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