Healthcare Provider Details

I. General information

NPI: 1902805096
Provider Name (Legal Business Name): MICHAEL PATRICK MCKEE MA LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 11/04/2022
Certification Date: 11/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 E LINCOLNWAY STE 9E
CHEYENNE WY
82001-4703
US

IV. Provider business mailing address

721 E LINCOLNWAY STE 9E
CHEYENNE WY
82001-4703
US

V. Phone/Fax

Practice location:
  • Phone: 307-630-4992
  • Fax: 307-630-4992
Mailing address:
  • Phone: 307-630-4992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number442A
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: