SHANE ROBERTS
NPI 1063871002
Counselor - Mental Health in Powell, WY
Active since February 18, 2016
About Shane Roberts NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE ROBERTS (NPI 1063871002) is an individual mental health provider in Powell, Wyoming and active in the NPI registry since February 2016.
NPPES Registry Identity
NPI1063871002
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHANE ROBERTS
Location Address1054 VALI RDPowell, WY 82435-9259
Mailing Address1054 Vali RdPowell, WY 82435-9259 · (307) 254-8129
Phone(307) 254-8129
Sole ProprietorYes
Enumeration DateFebruary 18, 2016
Last NPPES UpdateMarch 8, 2016
✔ NPI 1063871002 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1054 VALI RD, Powell, WY 82435
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063871002, enumerated as an "individual" on February 18, 2016.
The provider is located at 1054 VALI RD POWELL, WY 82435 and the phone number is (307) 254-8129.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
