Healthcare Provider Details

I. General information

NPI: 1346021573
Provider Name (Legal Business Name): COMPREHENSIVE HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1743 E YELLOWSTONE HWY
CASPER WY
82601-2246
US

IV. Provider business mailing address

2046 SAGE AVE
CASPER WY
82604-3406
US

V. Phone/Fax

Practice location:
  • Phone: 307-262-8600
  • Fax: 307-205-0494
Mailing address:
  • Phone: 307-438-0321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL LYNN BARDGETT
Title or Position: PMHNP-BC
Credential: DNP, APRN
Phone: 307-262-8600