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KA SKATES LLC NPI 1568998326


NPI Information

NPI: 1568998326
Provider Name: KA SKATES, LLC

Doing Business As: ALLIANCE CHRISTIAN COUNSELING

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
147 COOPER LN E
CODY, WY
ZIP 82414
Phone: (307) 899-7439
Get Directions

KA SKATES, LLC is a clinical social worker in Cody, WY. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. KA SKATES, LLC NPI is 1568998326. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Alliance Christian Counseling.

The provider's business location address is:

147 COOPER LN E
CODY, WY
ZIP 82414-233
Phone: (307) 899-7439

The provider's authorized official is Ashley Skates .
The authorized official title is Owner and has the following contact phone number (307) 899-7439.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 5/11/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthLCSW-1024WYOMINGNo
2101YP2500XCounselorProfessionalLCSW-1024WYOMINGNo
31041C0700XSocial WorkerClinicalLCSW-1024WYOMINGYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1131305301MEDICAIDWYOMING

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

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