Healthcare Provider Details

I. General information

NPI: 1851212351
Provider Name (Legal Business Name): GUIDED BY LOVE WRAPAROUND SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 WESTHILLS LOOP
GILLETTE WY
82718-7558
US

IV. Provider business mailing address

219 WESTHILLS LOOP
GILLETTE WY
82718-7558
US

V. Phone/Fax

Practice location:
  • Phone: 307-660-5310
  • Fax:
Mailing address:
  • Phone: 307-660-5310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SUZETTE MARIE RENKEN
Title or Position: OWNER
Credential:
Phone: 307-660-5310