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Contact Information

LIVING WELL PC
2510 E 15TH ST
SUITE 11
CASPER, WY82609-4111
 Phone: 307-234-9979
 Fax: 307-234-9989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for LIVING WELL PC

NPI # 1326342023
LBN Legal business name LIVING WELL PC
Authorized official TRICIA MILLER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2011
Last updated 05/01/2015 - About 11 years ago
Identifiers
WY License # 465
WY License # 603
WY Medicaid 130674000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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