Provider Demographics
NPI:1093266744
Name:BLUE SKY COUNSELING
Entity Type:Organization
Organization Name:BLUE SKY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY SUPPORT PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-797-0645
Mailing Address - Street 1:625 E MADISON AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:RIVERTON
Mailing Address - State:WY
Mailing Address - Zip Code:82501-4712
Mailing Address - Country:US
Mailing Address - Phone:307-851-3955
Mailing Address - Fax:
Practice Address - Street 1:625 E MADISON AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:RIVERTON
Practice Address - State:WY
Practice Address - Zip Code:82501-4712
Practice Address - Country:US
Practice Address - Phone:307-851-3955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty