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General NPI Number Information
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NPI Number | 1457262461
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Entity Type | Organization
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Legal Business Name | BLACK SHEPHERD COUNSELING LLC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 107 E 1ST ST
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City | GILLETTE
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State | WY
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Zip | 82716-3801
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Country | US
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Telephone | 307-670-1656
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Fax |
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Provider Business Mailing Address
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Address Line | 910 E 4TH ST
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City | GILLETTE
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State | WY
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Zip | 82716-4035
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Country | US
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Telephone | 307-670-1656
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHERYL TREMBATH
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Credential | MS LPC
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Telephone | 307-670-1656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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