Healthcare Provider Details

I. General information

NPI: 1730183617
Provider Name (Legal Business Name): CENTRAL WYOMING COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 WILKINS CIR
CASPER WY
82601-1336
US

IV. Provider business mailing address

1430 WILKINS CIR
CASPER WY
82601-1336
US

V. Phone/Fax

Practice location:
  • Phone: 307-237-9583
  • Fax: 307-265-7277
Mailing address:
  • Phone: 307-237-9583
  • Fax: 307-265-7277

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 Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: STEVE MORGAN
Title or Position: CFO
Credential:
Phone: 304-488-5092