Heather Gorman Haas, LPC

Individual provider Active NPI Professional Counselor · Buffalo, WY

NPI 1093675647 · NPPES record last updated Nov 17, 2025

Key facts

NPI
1093675647
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC-2040 (WY)
Practice address
178 N Tisdale Ave
Buffalo, WY 82834-2012
Phone
(307) 217-1187
NPI assigned
Nov 17, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPC-2040WYMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-2040 WY Yes

Addresses

Primary practice location

178 N Tisdale Ave
Buffalo, WY 82834-2012

Mailing address

178 N Tisdale Ave
Buffalo, WY 82834-2012

Other providers in Buffalo, WY

All providers in Buffalo, WY · Professional Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.