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MIND SPA PC NPI 1427351873


NPI Information

NPI: 1427351873
Provider Name: MIND SPA, PC

Doing Business As: MIND SPA

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
719 E 17TH ST
CHEYENNE, WY
ZIP 82001
Phone: (307) 509-0772
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MIND SPA, PC is a psychologist in Cheyenne, WY. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. MIND SPA, PC NPI is 1427351873. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mind Spa.

The provider's business location address is:

719 E 17TH ST
CHEYENNE, WY
ZIP 82001-711
Phone: (307) 509-0772
Fax: (307) 426-4133

The provider's authorized official is Sheri Jolene Fluellen .
The authorized official title is Ceo and has the following contact phone number (307) 509-0772.

The enumeration date for this NPI number is 12/7/2010 and was last updated on 3/9/2015.


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 License Number License State Primary
1103T00000XPsychologist3495COLORADONo
2103TC0700XPsychologistClinical498WYOMINGNo
3103TC0700XPsychologistClinical3495COLORADONo
4103TC1900XPsychologistCounseling498WYOMINGNo
5103TC1900XPsychologistCounseling3495COLORADONo
6261QM0855XClinic/CenterAdolescent and Children Mental HealthWY498No
7261QM0850XClinic/CenterAdult Mental HealthWY498WYOMINGNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)498WYOMINGNo
9103T00000XPsychologist498WYOMINGYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.