Healthcare Provider Details

I. General information

NPI: 1881504884
Provider Name (Legal Business Name): GOOD MOOD INTEGRATIVE PSYCHIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S GREELEY HWY STE C
CHEYENNE WY
82007-3028
US

IV. Provider business mailing address

30 N GOULD ST STE 68345
SHERIDAN WY
82801-6317
US

V. Phone/Fax

Practice location:
  • Phone: 443-963-3487
  • Fax:
Mailing address:
  • Phone: 443-963-3487
  • Fax: 443-281-5490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JASMINE M BLUNT
Title or Position: DIRECTOR
Credential: DNP, CRNP, PMHNP-BC
Phone: 443-963-3487