MEDICARE: MRS. SANDRA M RANEY LMHP, LADC, LPC, LAT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LAT-422	WY
2	101YM0800X	Mental Health Counselor	LPC-2459	WY

General Provider Information

NPI Number	:	1912253394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SANDRA M RANEY LMHP, LADC, LPC, LAT

Provider Business Mailing Address
First Line	:	721 E LINCOLNWAY
Second Line	:	SUITE W-12
City	:	CHEYENNE
State	:	WY
Zip	:	82001
Country	:	US
Telephone Number	:	308-765-8872
Fax Number	:	307-316-0520

Provider Business Practice Location Address
First Line	:	721 E LINCOLNWAY STE W-12
Second Line	:
City	:	CHEYENNE
State	:	WY
Zip	:	82001-4703
Country	:	US
Telephone Number	:	308-765-8872
Fax Number	:	307-316-0520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2012
Last Update Date	:	05/12/2026

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