Healthcare Provider Details

I. General information

NPI: 1699389965
Provider Name (Legal Business Name): BILLIE-NICOLE HECHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BILLIE-NICOLE BOEHM

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 ROBERT ST
CODY WY
82414-9268
US

IV. Provider business mailing address

337 ROBERT ST
CODY WY
82414-9268
US

V. Phone/Fax

Practice location:
  • Phone: 307-296-7627
  • Fax:
Mailing address:
  • Phone: 307-296-6727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-2607
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: