Provider Demographics
NPI:1992197602
Name:COTTONWOOD COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:COTTONWOOD COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNEATHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:307-399-0629
Mailing Address - Street 1:8000 ANTELOPE VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-9392
Mailing Address - Country:US
Mailing Address - Phone:307-399-0629
Mailing Address - Fax:
Practice Address - Street 1:1050 N 3RD ST
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82072-2544
Practice Address - Country:US
Practice Address - Phone:307-399-0629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty