Healthcare Provider Details

I. General information

NPI: 1801333224
Provider Name (Legal Business Name): COMFORT COUNSELING AND CASE MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2017
Last Update Date: 01/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC 442
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL MCKEE
Title or Position: OWNER
Credential: MA LPC
Phone: 307-630-4992