Healthcare Provider Details
I. General information
NPI: 1073028494
Provider Name (Legal Business Name): ATLAS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/07/2017
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
542 RUNNING W DR
GILLETTE WY
82718-2074
US
IV. Provider business mailing address
542 RUNNING W DR
GILLETTE WY
82718-2074
US
V. Phone/Fax
- Phone: 307-257-2331
- Fax:
- Phone: 307-257-2331
- Fax: 307-670-8024
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TROY
ALAN
AKINS
Title or Position: FOUNDER
Credential: PH.D
Phone: 740-502-0497