PATHWAYS TO CHANGE, LLC
Agencies at Energy Ln, Casper, WY

License number
Wyoming LPC 1059
Category
Agencies
Type
Community/Behavioral Health
License number
Wyoming LMFT 139
Category
Agencies
Type
Community/Behavioral Health
License number
Wyoming LPC 1073
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: DR. KELLY HEENAN PHD, LPC, LMFT
Title: CO-OWNER
Phone: (307) 265-4000
Address
Address
3211 Energy Ln SUITE 206, Casper, WY 82604
National Provider ID: 1093014276
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PATHWAYS TO CHANGE, LLC at bizstanding.com

Pathways to Change, LLC

Casper, WY

Registration:
Nov 5, 2010
Addresses:
3741 Energy Ln STE 206, Casper, WY 82604 (Physical)
3211 Energy Ln STE 206, Casper, WY 82604 (Mailing)
State ID:
2010-000592223
Business type:
Limited Liability Company - Domestic
Expiration:
Perpetual

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