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General NPI Number Information
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NPI Number | 1942831185
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Entity Type | Organization
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Legal Business Name | LEILANI RAY CULLEN MA LMFT
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 1949 SUGARLAND DR STE 250
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City | SHERIDAN
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State | WY
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Zip | 82801-5764
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Country | US
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Telephone | 719-964-0833
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Fax | 307-624-6254
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Provider Business Mailing Address
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Address Line | 1949 SUGARLAND DR STE 250
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City | SHERIDAN
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State | WY
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Zip | 82801-5764
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Country | US
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Telephone | 307-675-1920
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Fax | 307-624-6254
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LEILANI CULLEN
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Credential | MA LMFT
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Telephone | 719-964-0833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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