Healthcare Provider Details

I. General information

NPI: 1245473347
Provider Name (Legal Business Name): AUDREY M STEINLE LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2009
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5725 HIGHLAND DR
CASPER WY
82609-4382
US

IV. Provider business mailing address

120 N POU RD
EVANSVILLE WY
82636-9670
US

V. Phone/Fax

Practice location:
  • Phone: 307-265-3977
  • Fax:
Mailing address:
  • Phone: 214-995-8215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPCI64488
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: