Elevate Wyoming LLC

Organization Active NPI Community/Behavioral Health Agency · Sheridan, WY

NPI 1922478262 · NPPES record last updated Sep 29, 2015

Key facts

NPI
1922478262
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
ELEVATE WYOMING LLC
Practice address
3 Janich LN
Sheridan, WY 82801-8600
Phone
(307) 763-6987
NPI assigned
Sep 29, 2015
Organization subpart
No

Authorized official

Name
Taylor B Edgcomb, MA
Title
Co-Owner, Family Care Coordinator
Phone
(307) 620-2008

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

3 Janich LN
Sheridan, WY 82801-8600

Mailing address

3 Janich LN
Sheridan, WY 82801-8600
Phone (307) 683-6987

Other providers in Sheridan, WY

All providers in Sheridan, WY · Community/Behavioral Health Agency in Wyoming

Sources for this page

Verify at the official NPI Registry.