Heidi Edmunds, LPC

Individual provider Active NPI Mental Health Counselor · Torrington, WY

NPI 1336743152 · NPPES record last updated Jun 12, 2023

Key facts

NPI
1336743152
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
966 (WY)
Practice address
5856 Lariat Loop
Torrington, WY 82240-7621
Phone
(307) 575-0078
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

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
TPMC3346FLMDMental Health Counselor
3364NEMDMental Health Counselor
LPC.0019423COMDProfessional Counselor
966WYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3364 NE
Mental Health Counselor 101YM0800X TPMC3346 FL
Professional Counselor 101YP2500X 966 WY
Professional Counselor 101YP2500X LPC.0019423 CO
Mental Health Counselor 101YM0800X 966 WY Yes

Addresses

Primary practice location

5856 Lariat Loop
Torrington, WY 82240-7621

Mailing address

5856 Lariat Loop
Torrington, WY 82240-7621
Phone (307) 575-0078

Other providers in Torrington, WY

All providers in Torrington, WY · Mental Health Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.