Healthcare Provider Details

I. General information

NPI: 1932516192
Provider Name (Legal Business Name): OPEN DOOR COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2014
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 E LINCOLNWAY # 12
CHEYENNE WY
82001-4703
US

IV. Provider business mailing address

721 E LINCOLNWAY # 12
CHEYENNE WY
82001-4703
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9689
License Number StateNE

VIII. Authorized Official

Name: MRS. SANDRA M RANEY
Title or Position: PRESIDENT
Credential: ADC, LADC, PLMHP
Phone: 308-765-8872