Alice Lydia Cruz Morales, LAT-396

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Arapahoe, WY

NPI 1508219007 · NPPES record last updated Aug 17, 2021

Key facts

NPI: 1508219007
Entity type: Individual (NPI type 1)
Primary specialty: Addiction (Substance Use Disorder) Counselor 101YA0400X
License: 083 (WY)
Practice address: 24 Great Plains Road
Arapahoe, WY 82510
Phone: (307) 856-0470
Fax: (307) 857-4383
NPI assigned: Jul 20, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

White Buffalo Recovery Center Substance Use Disorder Rehabilitation Clinic/Center · Arapahoe, WY · NPI 1902213093

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
083	WY	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
White Buffalo Recovery Center		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	083	WY	Yes

Addresses

Primary practice location

24 Great Plains Road
Arapahoe, WY 82510

Mailing address

PO Box 190
St Stephens, WY 82524-0190
Phone (307) 856-0470

Other names

Alice Lydia Elmer Former name

Other providers in Arapahoe, WY

All providers in Arapahoe, WY · Addiction (Substance Use Disorder) Counselor in Wyoming

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. 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.

Verify at the official NPI Registry.