Provider Demographics
NPI:1760588875
Name:PREUIT & DAIGLE PROFESSIONAL COUNSELING P.C.
Entity Type:Organization
Organization Name:PREUIT & DAIGLE PROFESSIONAL COUNSELING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:PREUIT
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LPC,NCC,DC
Authorized Official - Phone:307-682-6699
Mailing Address - Street 1:1401 W 2ND ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-3334
Mailing Address - Country:US
Mailing Address - Phone:307-682-6699
Mailing Address - Fax:307-687-7243
Practice Address - Street 1:1401 W 2ND ST UNIT 1
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-3334
Practice Address - Country:US
Practice Address - Phone:307-682-6699
Practice Address - Fax:307-687-7243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY=========OtherTAX ID NUMBER