Provider Demographics
NPI:1801333224
Name:COMFORT COUNSELING AND CASE MANAGEMENT LLC
Entity type:Organization
Organization Name:COMFORT COUNSELING AND CASE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:307-630-4992
Mailing Address - Street 1:721 E LINCOLNWAY
Mailing Address - Street 2:#9E
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-4703
Mailing Address - Country:US
Mailing Address - Phone:307-630-4992
Mailing Address - Fax:
Practice Address - Street 1:721 E LINCOLNWAY
Practice Address - Street 2:#9E
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-4703
Practice Address - Country:US
Practice Address - Phone:307-630-4992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
WYLPC 442101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty