Courage to Change LLC

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Gillette, WY

NPI 1891152344 · NPPES record last updated Jan 27, 2016

Key facts

NPI
1891152344
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
License
716 (WY)
Legal business name
COURAGE TO CHANGE LLC
Practice address
113 S Gillette Ave
Ste 200
Gillette, WY 82716-3740
Phone
(307) 756-2956
NPI assigned
Jan 27, 2016
Organization subpart
No

Authorized official

Name
Barbara L Denaeyer, LPC
Title
Counselor
Phone
(307) 756-2956

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Courage to Change Counseling LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 716 WY Yes

Addresses

Primary practice location

113 S Gillette Ave
Ste 200
Gillette, WY 82716-3740

Mailing address

805 Mountain View Dr Apt 107
Gillette, WY 82716-2339
Phone (307) 756-2956

Other providers in Gillette, WY

All providers in Gillette, WY · Mental Health Clinic/Center (Including Community Mental Health Center) in Wyoming

Sources for this page

Verify at the official NPI Registry.