HEAVENS PEAK BEHAVIORAL HEALTH SERVICES, INS (NPI# 1669921532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669921532 |
| Entity Type | Organization |
| Organization Name | HEAVENS PEAK BEHAVIORAL HEALTH SERVICES, INS |
| Practice Address |
64 Safe Haven Rd Powell WY 82435 |
| Practice Telephone | 3076453384 |
| Practice Fax Number | 8663201673 |
| Mailing Telephone | 3076453384 |
| Mailing Fax Number | 8663201673 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Authorized Official Name | ANGELA C WOODWARD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3076453384 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
429005 | WY | Ambulatory Health Care Facilities |
| Street Address |
64 SAFE HAVEN RD |
| City | POWELL |
| State | WY |
| Zip Code | 82435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841762648 | Cynthia Jean Garhart | Counselor | 235 East 2nd Street, Powell, WY 82435 | 2018-12-19 |
| 1982114138 | Peggy Ruth Cheatham | Case Manager/Care Coordinator | 317 S Day St, Powell, WY 82435 | 2017-10-02 |
| 1730636895 | Kara Baus | Registered Nurse | 112 Safe Haven Road, Powell, WY 82435 | 2016-09-07 |
| 1942620208 | Susan C Hawkinson | Speech-Language Pathologist | 558 E 2nd St., Children's Resource Center Attention: Ila Jean Jenkins, Powell, WY 82435 | 2014-04-24 |
| 1376963801 | Shelby Marie Frost | Nurse Practitioner | 246 N Absaroka St, Powell, WY 82435 | 2014-04-23 |
| 1578993549 | Doni Lauk | Case Management | 458 S Ferris St, Powell, WY 82435 | 2013-11-12 |
| 1144579731 | Move On Physical Therapy, Inc. | Physical Therapist | 1201 E. 7th Street, Powell, WY 82435 | 2012-08-29 |
| 1992008841 | Justin Dean Mccoll | Counselor | 89 Rd 8 Ra, Powell, WY 82435 | 2010-12-15 |
| 1588977250 | James Lloyd | Obstetrics & Gynecology | 777 Ave H., Powell Valley Healthcare, Powell, WY 82435 | 2010-07-22 |
| 1285829218 | Melissa Dawn Vukich | Speech-Language Pathologist | 558 East 2nd St, Powell, WY 82435 | 2007-09-12 |
| Find all providers in zip 82435 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075707 | Rite of Passage Inc | Clinic/Center | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2020-02-13 |
| 1669022711 | Blue Skies Counseling LLC | Clinic/Center | 400 E 1st St # 219, Casper, WY 82601-2558 | 2019-09-19 |
| 1215583000 | Be Mindfully You, LLC | Clinic/Center | 800 Werner Ct Ste 322, Casper, WY 82601-1325 | 2019-08-16 |
| 1669956223 | Rite of Passage Inc | Clinic/Center | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2018-09-19 |
| 1184176430 | Magellan Healthcare of Wyoming | Clinic/Center | 625 E Madison Ave Ste 6, Riverton, WY 82501-4712 | 2016-11-02 |
| 1477008183 | Community Mental Health Center of Wyoming | Clinic/Center | 3928 Road 9, Burlington, WY 82411-9731 | 2016-08-23 |
| 1659516318 | Teton Psychology Clinic, LLC | Clinic/Center | 460 South Cache Street, Jackson, WY 83001 | 2008-12-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.