Wyoming Substance Abuse Assessments LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WYOMING SUBSTANCE ABUSE ASSESSMENTS LLC

Doing business as

Cowboy ASI

Practice address

30 N Gould St
Sheridan, WY 82801-6317

Phone

(330) 449-5020

Fax

(330) 595-4025

NPI assigned

Oct 11, 2023

Last updated

Oct 11, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Philip McClelland, LPCC

Title

Partner

Phone

(330) 449-5020

Specialties & licenses 1

Addresses

Other names 1

• Cowboy ASI Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1477334860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N GOULD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016317",
            "telephone_number": "330-449-5020",
            "fax_number": "330-595-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N GOULD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016317",
            "telephone_number": "330-449-5020",
            "fax_number": "330-595-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING SUBSTANCE ABUSE ASSESSMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAND",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "330-449-5020",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cowboy ASI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.