Mindfully Reconnect Llc

LBN: Mindfully Reconnect Llc
Mindfully Reconnect Llc is an health care organization with primary practice located at 1001 W 31St St , Cheyenne WY 82001-2442. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mindfully Reconnect Llc can be contacted via phone (307) 634-6883, or through Schroll, Elizabeth Ann via phone (307) 634-6883.

Contact Information

Primary practice address
1001 W 31St St Cheyenne WY 82001-2442
Phone: (307) 634-6883
Fax: (307) 634-9462
Website:
Map and Directions
Authorized official contact:
Name: Schroll, Elizabeth Ann Licensed Clinical Social Worker (LCSW)
Phone: (307) 634-6883

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X LCSW 731 Wyoming

Profile Details

NPI number 1003234774
LBN Legal business name Mindfully Reconnect Llc
DBA Doing business as
Authorized official Schroll, Elizabeth Ann Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2014
Last updated Mar 31st, 2014 - about 10 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 1003234774 NPPES
Wyoming MEDICAID 106079100

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