OrganizationActive
Courage to Change LLC
NPI 1891152344 · Mental Health Clinic/Center (Including Community Mental Health Center) · Gillette, WY
Provider details
- NPI number
- 1891152344
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Authorized official
- Barbara Denaeyer, Counselor
- License
- 716 (WY)
Practice location
113 S Gillette Ave
Ste 200
Gillette, WY 82716-3740
Phone: (307) 756-2956
Mailing address
805 Mountain View Dr Apt 107
Gillette, WY 82716-2339
Registry dates
- Enumerated
- 2016-01-27
- Last updated
- 2016-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.