IndividualActive
Ashley Provencio
NPI 1649869272 · Mental Health Counselor · Cheyenne, WY
Provider details
- NPI number
- 1649869272
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
1920 Thomes Ave Ste 110
Cheyenne, WY 82001-3543
Phone: (210) 823-3808
Mailing address
1516 E 17th St
Cheyenne, WY 82001-4920
Registry dates
- Enumerated
- 2021-01-18
- Last updated
- 2021-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.