MENTAL HEALTH MANAGED LLC NPI 1740003235

NPI Information

  • NPI: 1740003235
  • Provider Name: MENTAL HEALTH MANAGED LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 30 N GOULD ST STE 42472
    SHERIDAN, WY
    ZIP 82801
  • Phone: (903) 267-4023

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NPI Details

MENTAL HEALTH MANAGED LLC is a professional counselor in Sheridan, WY. MENTAL HEALTH MANAGED LLC NPI is 1740003235. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 N GOULD ST STE 42472
SHERIDAN, WY
ZIP 82801-317
Phone: (903) 267-4023
Fax: (903) 487-0600

The provider's authorized official is Brittainy Wagner .
The authorized official title is Coo and has the following contact phone number (903) 267-4023.

The enumeration date for this NPI number is 11/4/2024 and was last updated on 3/11/2025.

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
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalYes
4104100000XSocial WorkerNo
51041C0700XSocial WorkerClinicalNo
62084P0800XPsychiatry & NeurologyPsychiatryNo
7364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo

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: 11/21/2025

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