Organization Name: | NEW LEAF COUNSELING OF SHERIDAN, LLC |
NPI Number: | 1013281575 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA L SCHWAIGER (SOLE PROPRIETOR/THERAPIST) |
Mailing Address: | 1309 Coffeen Ave Ste C Sheridan |
State: | WY US |
Postal Code: | 828015778 |
Phone Number: | 3076555180 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2012 |
NPI Last Update Date: | 03/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW297 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |