Healthcare Provider Details

I. General information

NPI: 1982510624
Provider Name (Legal Business Name): DANCZIK PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 E 2ND ST STE 307
CASPER WY
82601-2539
US

IV. Provider business mailing address

232 E 2ND ST STE 307
CASPER WY
82601-2539
US

V. Phone/Fax

Practice location:
  • Phone: 307-631-2296
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER BARTON
Title or Position: OFFICE MANAGER
Credential: MHA
Phone: 307-226-0268