MAGELLAN HEALTHCARE OF WYOMING NPI 1184176430

NPI Information

MAGELLAN HEALTHCARE OF WYOMING is an adolescent and children mental health clinic center in Riverton, WY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. MAGELLAN HEALTHCARE OF WYOMING NPI is 1184176430. The provider is registered as an organization entity type.
The provider Is Doing Business As Blue Sky Counseling.

The provider's business location address is:

625 E MADISON AVE STE 6
RIVERTON, WY
ZIP 82501-712
Phone: (307) 851-3955

The provider's authorized official is Linda Heron .
The authorized official title is Managing Director and has the following contact phone number (307) 851-3955.

The enumeration date for this NPI number is 11/2/2016 and was last updated on 11/2/2016.

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:

Other Identifiers

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