Provider Demographics
NPI:1326309782
Name:RANSOM, DARBY GOODSPEED (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:DARBY
Middle Name:GOODSPEED
Last Name:RANSOM
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2611
Mailing Address - Street 2:
Mailing Address - City:MILLS
Mailing Address - State:WY
Mailing Address - Zip Code:82644-2611
Mailing Address - Country:US
Mailing Address - Phone:307-277-8304
Mailing Address - Fax:
Practice Address - Street 1:231 S WILSON ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2941
Practice Address - Country:US
Practice Address - Phone:307-265-3791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-01
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY959101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional