Healthcare Provider Details

I. General information

NPI: 1912253394
Provider Name (Legal Business Name): SANDRA M RANEY LMHP, LADC, LPC, LAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2012
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 E LINCOLNWAY STE W-12
CHEYENNE WY
82001-4703
US

IV. Provider business mailing address

721 E LINCOLNWAY SUITE W-12
CHEYENNE WY
82001
US

V. Phone/Fax

Practice location:
  • Phone: 308-765-8872
  • Fax: 307-316-0520
Mailing address:
  • Phone: 308-765-8872
  • Fax: 307-316-0520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLAT-422
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-2459
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: