Healthcare Provider Details

I. General information

NPI: 1043123664
Provider Name (Legal Business Name): CENTRAL WYOMING COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 N. 8TH ST.
LANDER WY
82520-3036
US

IV. Provider business mailing address

1430 WILKINS CIR
CASPER WY
82601-1336
US

V. Phone/Fax

Practice location:
  • Phone: 307-237-9583
  • Fax:
Mailing address:
  • Phone: 307-237-9583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: VALERIE FOSTER
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 307-237-9583