Provider Demographics
NPI:1245853217
Name:PENNY FOR YOUR THOUGHTS WELLNESS LLC
Entity type:Organization
Organization Name:PENNY FOR YOUR THOUGHTS WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:307-215-1718
Mailing Address - Street 1:152 N DURBIN ST STE 304
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-1960
Mailing Address - Country:US
Mailing Address - Phone:307-215-1718
Mailing Address - Fax:307-224-2060
Practice Address - Street 1:152 N DURBIN ST STE 304
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-1960
Practice Address - Country:US
Practice Address - Phone:307-215-1718
Practice Address - Fax:307-224-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-25
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY1063801231Medicaid