Provider Demographics
NPI:1699902072
Name:PELDO COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:PELDO COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PELDO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:307-751-7900
Mailing Address - Street 1:1740 S MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-3223
Mailing Address - Country:US
Mailing Address - Phone:307-751-7900
Mailing Address - Fax:307-675-1997
Practice Address - Street 1:1 E ALGER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-3911
Practice Address - Country:US
Practice Address - Phone:307-675-1999
Practice Address - Fax:307-675-1997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLMFT-096251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health