NORTHWEST WYOMING TREATMENT CENTER (NPI# 1376700351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376700351 |
| Entity Type | Organization |
| Organization Name | NORTHWEST WYOMING TREATMENT CENTER |
| Other Organization Name | VERNON CLEGG CONDIE YOUTH HOMES, INC. |
| Practice Address |
1106 Julie Ln Powell WY 82435-1632 |
| Practice Telephone | 3072717460 |
| Mailing Telephone | 3072717460 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | MR. TY BARRUS (DIRECTOR) |
| Authorized Official Telephone | 3072717460 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Vernon Clegg Condie Youth Homes, Inc. | Former Legal Business Name - Organization |
| Street Address |
1106 JULIE LN |
| City | POWELL |
| State | WY |
| Zip Code | 82435-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073979076 | Jessica Williams | Counselor | 1106 Julie Ln, Powell, WY 82435-1632 | 2016-01-06 |
| 1639465610 | Christy Joy Muecke | Specialist | 1106 Julie Ln, Powell, WY 82435 | 2011-06-28 |
| 1629364674 | Lila Faye Jolley | Case Manager/Care Coordinator | 1106 Julie Ln, Powell, WY 82435-1632 | 2011-06-28 |
| 1821384884 | Kim E Fletcher | Counselor | 1106 Julie Ln, Powell, WY 82435-1632 | 2011-06-28 |
| 1003100181 | Matthew Ty Barrus | Social Worker | 1106 Julie Ln, Powell, WY 82435-1632 | 2011-06-06 |
| 1437443504 | Myra F Bennett | Counselor | 1106 Julie Ln, Powell, WY 82435-1632 | 2011-06-06 |
| 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 |
| 1669921532 | Heavens Peak Behavioral Health Services, Ins | Clinic/Center | 64 Safe Haven Rd, Powell, WY 82435 | 2016-10-03 |
| 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 |
| Find all providers in zip 82435 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730560608 | Triangle Cross Ranch | Substance Abuse Rehabilitation Facility | 428 Road 1af, Powell, WY 82435-8103 | 2015-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962783738 | Normative Services, Inc | Substance Abuse Rehabilitation Facility | 5 Lane Ln, Sheridan, WY 82801-8630 | 2011-09-07 |
| 1275824997 | Youth Emergency Services | Substance Abuse Rehabilitation Facility | 700 Longmont St, Gillette, WY 82716-2927 | 2011-04-28 |
| 1912298639 | Youth Emergency Services | Substance Abuse Rehabilitation Facility | 700 Longmont St, Gillette, WY 82716-2927 | 2011-04-28 |
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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.