Deven Lavelle Bowman
Individual provider Active NPI Community/Behavioral Health Agency · Cheyenne, WY
NPI 1124817630 · NPPES record last updated May 1, 2025
Key facts
- NPI
- 1124817630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 702 Dallas Rd
Cheyenne, WY 82007-9313 - Phone
- (307) 689-3668
- NPI assigned
- May 1, 2025
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | WY | Yes |
Addresses
Primary practice location
702 Dallas Rd
Cheyenne, WY 82007-9313
Mailing address
702 Dallas Rd
Cheyenne, WY 82007-9313
Phone (307) 689-3668
Other providers in Cheyenne, WY
- Kellie Bouldin
- Joann Bourlier-Childress
- Laura Irene Bowitz
- Margaret Bowles
- Denise Arzell Bowman
- Shelby Bowman
- Sherry A Bowman
- Taylor Bowman
- Timothy R Bowman
- Rebecca Boyce
All providers in Cheyenne, WY · Community/Behavioral Health Agency in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.