Path Behavioral Health Wyoming LLC

NPI #1720658842 in Lander, Wyoming

Provider Information

NPI Number: 1720658842
Entity Type: Organization
Organization Name: Path Behavioral Health Wyoming LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 30, 2021
Last Updated: Jun 30, 2021

Practice Location

Address: 431 MAIN ST
City: Lander
State: Wyoming
ZIP Code: 82520-3145
Phone: (307) 851-3111

Authorized Official

Name: MORGAN FALLS
Title: BUSINESS MANAGER
Phone: (307) 349-8521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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