Healthcare Provider Details

I. General information

NPI: 1154268688
Provider Name (Legal Business Name): WOUNDS TO WINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 WILLIAMS ST LOT 288
CHEYENNE WY
82007-3638
US

IV. Provider business mailing address

1914 THOMES AVE STE 2
CHEYENNE WY
82001-3527
US

V. Phone/Fax

Practice location:
  • Phone: 307-630-3998
  • Fax:
Mailing address:
  • Phone: 307-630-3998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: FAITH CHRISTINE MCCRORY
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 307-630-3998