OCTAVIA ALICIA GALLON (NPI# 1851809388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851809388 |
Entity Type | Individual |
Full Name | OCTAVIA ALICIA GALLON |
Credential | LPC |
Practice Address |
2232 Dell Range Blvd Ste 270 Cheyenne WY 82009-4980 |
Practice Telephone | 3072229015 |
Mailing Telephone | 3072229015 |
Enumeration Date | 2018-01-18 |
Last Update Date | 2020-11-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | PPC-1048 | WY | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-1899 | WY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 148935600 | 05 |
Street Address |
2232 DELL RANGE BLVD STE 270 |
City | CHEYENNE |
State | WY |
Zip Code | 82009-4980 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658350 | G Force Consulting LLC | Counselor | 2232 Dell Range Blvd Ste 270, Cheyenne, WY 82009-4980 | 2020-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
Find all providers in zip 82009 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528667201 | Shine Forth LLC | Counselor | 6710 Willshire Blvd, Cheyenne, WY 82009-2757 | 2020-10-22 |
1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
1356841597 | Little Things Counseling | Counselor | 1603 Capitol Ave Ste 510a, Cheyenne, WY 82001-4563 | 2018-02-14 |
1225543374 | Changeabout Concepts LLC | Counselor | 1507 Carey Ave Ste 3, Cheyenne, WY 82001-4484 | 2017-12-12 |
1699216267 | Career Innovations | Counselor | 3411 Cleveland Ave, Cheyenne, WY 82001-2163 | 2017-03-16 |
1508314295 | Jennifer Brooke Rigg | Counselor | 1226 Alyssa Way, Cheyenne, WY 82009-3867 | 2016-09-12 |
1629444351 | Adam Elias Stuart-walker | Counselor | 1816 E 17th St, Cheyenne, WY 82001-5010 | 2015-08-17 |
1619227444 | Foundations Counseling & Consulting of Wyoming, LLC | Counselor | 2003 Central Ave, Cheyenne, WY 82001-3745 | 2012-09-19 |
1952690836 | Jamie Snyder | Counselor | 2000 Westland Rd Unit C, Cheyenne, WY 82001-3309 | 2011-03-31 |
Find all providers in CHEYENNE |
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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.