Provider Demographics
NPI:1194230193
Name:ENCOMPASS COUNSELING LLC
Entity Type:Organization
Organization Name:ENCOMPASS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLEDEWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:307-202-3452
Mailing Address - Street 1:1735 SHERIDAN AVE STE 221
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-3864
Mailing Address - Country:US
Mailing Address - Phone:307-202-3452
Mailing Address - Fax:
Practice Address - Street 1:1735 SHERIDAN AVE STE 221
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-3864
Practice Address - Country:US
Practice Address - Phone:307-202-3452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health