1306406509 KINTSUGI PSYCHIATRY, LLC

Psychiatric/Mental Health Nurse Practitioner

Active

Basic Information

Organization Name
KINTSUGI PSYCHIATRY, LLC
Enumeration Date
June 19, 2019
Last Update
June 17, 2022
Authorized Official
KATIE MADETZKE CNA
PRACTICE MANAGER
Phone: (307) 333-5757

Practice Location

Address
145 S DURBIN ST STE 108
CASPER, WY 826012566
Phone
(307) 333-5757
Fax
(307) 439-2141

Mailing Address

Address
PO BOX 1117
CASPER, WY 826021117
Phone
(307) 333-5757
Fax
(307) 439-2141

Specialties & Taxonomies

Specialty Code Classification License State Primary
Adult Mental Health Clinic/Center
Adult Mental Health
 261QM0850X Clinic/Center N/A N/A No
Adolescent and Children Mental Health Clinic/Center
Adolescent and Children Mental Health
 261QM0855X Clinic/Center N/A N/A No
Psychiatric/Mental Health Nurse Practitioner
Psychiatric/Mental Health
 363LP0808X Nurse Practitioner N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1306406509 05 WY N/A
1093117210 05 WY N/A

Additional Practice Locations

770 W Collins Dr Ste 200
Casper, WY 826012300

Phone: (307) 333-5757

Fax: (307) 215-7879

1300 E A St Ste 201
Casper, WY 826012252

Phone: (307) 235-3333

Fax: (307) 266-5155

Frequently Asked Questions

What is KINTSUGI PSYCHIATRY, LLC's NPI number?
KINTSUGI PSYCHIATRY, LLC's NPI number is 1306406509.
Which doctor has NPI number 1306406509?
The doctor with NPI number 1306406509 is KINTSUGI PSYCHIATRY, LLC.
What is KINTSUGI PSYCHIATRY, LLC's practice address?
KINTSUGI PSYCHIATRY, LLC's practice address is 145 S DURBIN ST STE 108, CASPER, WY, 826012566.
Which doctor practices at 145 S DURBIN ST STE 108, CASPER, WY, 826012566?
KINTSUGI PSYCHIATRY, LLC practices at 145 S DURBIN ST STE 108, CASPER, WY, 826012566.
What is KINTSUGI PSYCHIATRY, LLC's mailing address?
KINTSUGI PSYCHIATRY, LLC's mailing address is PO BOX 1117, CASPER, WY, 826021117.
What is KINTSUGI PSYCHIATRY, LLC's phone number?
KINTSUGI PSYCHIATRY, LLC's phone number is (307) 333-5757.
Who is (307) 333-5757?
(307) 333-5757 is the phone number for KINTSUGI PSYCHIATRY, LLC.
What is KINTSUGI PSYCHIATRY, LLC's specialty?
KINTSUGI PSYCHIATRY, LLC's specialty is Psychiatric/Mental Health Nurse Practitioner.
What type of doctor is KINTSUGI PSYCHIATRY, LLC?
KINTSUGI PSYCHIATRY, LLC is a Psychiatric/Mental Health Nurse Practitioner.
Is KINTSUGI PSYCHIATRY, LLC a Psychiatric/Mental Health?
Yes, KINTSUGI PSYCHIATRY, LLC is a Psychiatric/Mental Health.
Is KINTSUGI PSYCHIATRY, LLC still practicing?
Yes, KINTSUGI PSYCHIATRY, LLC is currently practicing.
Is KINTSUGI PSYCHIATRY, LLC accepting new patients?
KINTSUGI PSYCHIATRY, LLC may be accepting new patients. Please call their office at (307) 333-5757 to inquire about availability.
Is NPI 1306406509 still active?
Yes, NPI 1306406509 is currently active.
Where does KINTSUGI PSYCHIATRY, LLC practice?
KINTSUGI PSYCHIATRY, LLC practices in CASPER, WY.