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NPI Code Detail

MEDICARE: CATHEDRAL HOME FOR CHILDREN

MEDICARE: CATHEDRAL HOME FOR CHILDREN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1385HR2055XChild Mental Illness Respite Care
2101Y00000XCounselor
3261QM0855XAdolescent and Children Mental Health Clinic/Center
4104100000XSocial Worker
53245S0500XChildren's Substance Abuse Rehabilitation Facility
6320800000XMental Illness Community Based Residential Treatment Facility
71041C0700XClinical Social Worker
8101YP2500XProfessional Counselor
9261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033206289
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHEDRAL HOME FOR CHILDREN
Provider Business Mailing Address
First Line : 4989 N 3RD ST
Second Line :
City : LARAMIE
State : WY
Zip : 82072-9548
Country : US
Telephone Number : 307-745-8997
Fax Number : 307-742-6146
Provider Business Practice Location Address
First Line : 4989 N 3RD ST
Second Line :
City : LARAMIE
State : WY
Zip : 82072-9548
Country : US
Telephone Number : 307-640-6123
Fax Number : 307-742-6146
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. NICOLE HAUSER
Credential : MSW, LCSW
Telephone Number : 307-745-8989
Provider Enumeration Date : 10/09/2006
Last Update Date : 09/04/2025

Similar Medicare Providers

1023100336 — MS. BROOKE LYNN BENSON M.S., LPC, NCC
Practice Location Address:
4989 N 3RD ST
LARAMIE, WY
82072-9548
Practice Phone: 307-745-8997
Practice Fax:
1528213477 — MS. JAMIE LYNN RETTINGER MA
Practice Location Address:
4989 N 3RD ST
LARAMIE, WY
82072-9548
Practice Phone: 307-745-8997
Practice Fax:
1356588727 — CATHEDRAL HOME FOR CHILDREN
Practice Location Address:
4989 N 3RD ST
LARAMIE, WY
82072-9548
Practice Phone: 307-640-6123
Practice Fax:
1356673297 — AARON LOZANO M.S.
Practice Location Address:
4989 N 3RD ST
LARAMIE, WY
82072-9548
Practice Phone: 307-745-8997
Practice Fax:
1134400328 — ANNEMARI BRADIN PPC
Practice Location Address:
4989 N 3RD ST
LARAMIE, WY
82072-9548
Practice Phone: 307-745-8997
Practice Fax:
1831470004 — CHRIS HARNDEN LPC
Practice Location Address:
4989 N 3RD ST
LARAMIE, WY
82072-9548
Practice Phone: 307-721-1588
Practice Fax:

Directions to “CATHEDRAL HOME FOR CHILDREN ” Practice Location

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