Skyline Mental Health Services LLC

Organization Active NPI Clinical Social Worker · Rock Springs, WY

NPI 1164034492 · NPPES record last updated Aug 21, 2020

Key facts

NPI
1164034492
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
SKYLINE MENTAL HEALTH SERVICES LLC
Practice address
1471 Dewar Dr Ste 232
Rock Springs, WY 82901-5885
Phone
(307) 350-8759
Fax
(307) 215-8337
NPI assigned
Aug 18, 2020
Organization subpart
Yes
Parent organization (as reported)
SKYLINE MENTAL HEALTH SERVICES LLC

Authorized official

Name
Angelene Rounds, LCSW-784
Title
Clinical Director
Phone
(307) 350-8759

National Provider Directory

Part of
Skyline Mental Health Services LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

1471 Dewar Dr Ste 232
Rock Springs, WY 82901-5885

Mailing address

1471 Dewar Dr Ste 232
Rock Springs, WY 82901-5885
Phone (307) 350-8759

Other identifiers

IdentifierTypeStateIssuer
1972734283OtherWYBLUE CROSS BLUE SHIELD WYOMING

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address gregorycalzada@skylinementalhealthservices.com Direct

Other providers in Rock Springs, WY

All providers in Rock Springs, WY · Clinical Social Worker in Wyoming

Sources for this page

Verify at the official NPI Registry.