CATHEDRAL HOME FOR CHILDREN NPI 1033206289

NPI Information

NPI: 1033206289
Provider Name: CATHEDRAL HOME FOR CHILDREN
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 53D0920378

Address:
4989 N 3RD ST
LARAMIE, WY
ZIP 82072
Phone: (307) 745-8997
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CATHEDRAL HOME FOR CHILDREN is a mental health (including community mental health center) clinic center in Laramie, WY. CATHEDRAL HOME FOR CHILDREN NPI is 1033206289. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4989 N 3RD ST
LARAMIE, WY
ZIP 82072-548
Phone: (307) 745-8997
Fax: (307) 742-6146

The provider's authorized official is Nicole Hauser .
The authorized official title is Executive Director and has the following contact phone number (307) 745-8997.

The CLIA number assigned to this NPI record is 53D0920378 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 12/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YP2500X	Counselor	Professional	No
3	104100000X	Social Worker		No
4	1041C0700X	Social Worker	Clinical	No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
6	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
7	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
8	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	No
9	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10026747700	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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