Healthcare Provider Details

I. General information

NPI: 1376466367
Provider Name (Legal Business Name): SAGE & STONE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 S PIERCE ST
LARAMIE WY
82070-6380
US

IV. Provider business mailing address

623 S PIERCE ST
LARAMIE WY
82070-6380
US

V. Phone/Fax

Practice location:
  • Phone: 307-299-1714
  • Fax: 307-299-1714
Mailing address:
  • Phone: 307-299-1714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KATIE KELLER
Title or Position: MANAGING MEMBER
Credential: LPC
Phone: 307-299-1714