Healthcare Provider Details

I. General information

NPI: 1235068495
Provider Name (Legal Business Name): HEIDI SHULER MA, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 N ST STE 202
ROCK SPRINGS WY
82901-5474
US

IV. Provider business mailing address

23 MORNING GLORY WAY
ROCK SPRINGS WY
82901-4368
US

V. Phone/Fax

Practice location:
  • Phone: 307-630-3466
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-2564
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: