Provider Demographics
NPI:1891179818
Name:HEALTHY FRONTIER COUNSELING, INC.
Entity Type:Organization
Organization Name:HEALTHY FRONTIER COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BUTTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:307-388-0955
Mailing Address - Street 1:82 COTTONWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WORLAND
Mailing Address - State:WY
Mailing Address - Zip Code:82401-8711
Mailing Address - Country:US
Mailing Address - Phone:307-388-0955
Mailing Address - Fax:
Practice Address - Street 1:82 COTTONWOOD RD
Practice Address - Street 2:
Practice Address - City:WORLAND
Practice Address - State:WY
Practice Address - Zip Code:82401-8711
Practice Address - Country:US
Practice Address - Phone:307-388-0955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY684251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management