Elisabeth Krause
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Atlantic City, WY
NPI 1346792298 · NPPES record last updated Oct 26, 2016
Key facts
- NPI
- 1346792298
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- LPC-1217 (WY)
- Legal business name
- ELISABETH KRAUSE
- Practice address
- 65 N, Granier Ave
Atlantic City, WY 82520 - Phone
- (307) 462-9597
- NPI assigned
- Oct 26, 2016
- Organization subpart
- No
Authorized official
- Name
- Elizabeth P Krause, LPC
- Title
- Mental Health Counselor
- Phone
- (307) 462-9597
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | LPC-1217 | WY | Yes |
Addresses
Primary practice location
65 N, Granier Ave
Atlantic City, WY 82520
Mailing address
65 N, Granier Ave
Atlantic City, WY 82520
Phone (307) 462-9597
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142138700 | Medicaid | WY |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2016. 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.