Healthcare Provider Details

I. General information

NPI: 1780503276
Provider Name (Legal Business Name): FREE YOUR MIND COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 STAMPEDE AVE STE 2211
CODY WY
82414-4728
US

IV. Provider business mailing address

1501 STAMPEDE AVE STE 2211, UNIT 9017
CODY WY
82414-4728
US

V. Phone/Fax

Practice location:
  • Phone: 307-250-4827
  • Fax:
Mailing address:
  • Phone: 307-250-4827
  • 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: AMBER SHIER
Title or Position: OWNER
Credential: MSW, LCSW
Phone: 307-250-4827