Provider Demographics
NPI:1699215871
Name:ALL FOR YOU, LLC
Entity Type:Organization
Organization Name:ALL FOR YOU, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:THERIAULT
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:307-630-8418
Mailing Address - Street 1:5333 JENNY LK
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-3719
Mailing Address - Country:US
Mailing Address - Phone:307-630-8418
Mailing Address - Fax:
Practice Address - Street 1:5333 JENNY LK
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-3719
Practice Address - Country:US
Practice Address - Phone:307-630-8418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management