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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326342023 | NPPES |
| Wyoming | MEDICAID | 130674000 |
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