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NPI Code Detail

MEDICARE: LIV IN-HOME COUNSELING & CARE MANAGEMENT, LLC

MEDICARE: LIV IN-HOME COUNSELING & CARE MANAGEMENT, LLC
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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1952268484
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIV IN-HOME COUNSELING & CARE MANAGEMENT, LLC
Provider Business Mailing Address
First Line : PO BOX 20092
Second Line :
City : CHEYENNE
State : WY
Zip : 82003-7002
Country : US
Telephone Number : 307-277-0652
Fax Number : 307-632-3298
Provider Business Practice Location Address
First Line : 6631 E 2ND ST STE 200
Second Line :
City : CASPER
State : WY
Zip : 82609-4355
Country : US
Telephone Number : 307-277-0652
Fax Number : 307-632-3298
Authorized Official
Title or Position : PRESIDENT & CEO
Name : EMILY ANN LOOS
Credential : LCSW
Telephone Number : 307-630-4729
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “LIV IN-HOME COUNSELING & CARE MANAGEMENT, LLC ” Practice Location

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