NPIMap

Anna M Harberts, LAT

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

NPI 1720545544 · NPPES record last updated Sep 7, 2023

Key facts

NPI
1720545544
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LAT-410 (WY)
Practice address
2310 E 8TH St
Cheyenne, WY 82001-5256
Phone
(307) 632-6433
NPI assigned
Feb 28, 2019
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
LAT-410WYMDAddiction (Substance Use Disorder) Counselor
PAT-087WYMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X PAT-087 WY
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X LAT-410 WY Yes

Addresses

Primary practice location

2310 E 8TH St
Cheyenne, WY 82001-5256

Mailing address

510 W 29TH St
Cheyenne, WY 82001-2760
Phone (307) 426-4728

Other providers in Cheyenne, WY

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

Sources for this page

Verify at the official NPI Registry.