Provider Demographics
NPI:1851197610
Name:SNOW DAY PSYCHIATRY LLC
Entity type:Organization
Organization Name:SNOW DAY PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:LANDON
Authorized Official - Last Name:MILLWOOD
Authorized Official - Suffix:JR
Authorized Official - Credentials:APRN
Authorized Official - Phone:901-496-8884
Mailing Address - Street 1:1621 CENTRAL AVE # 8211
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-4531
Mailing Address - Country:US
Mailing Address - Phone:073-872-0013
Mailing Address - Fax:307-387-2004
Practice Address - Street 1:1621 CENTRAL AVE STE 8211
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-4531
Practice Address - Country:US
Practice Address - Phone:073-872-0013
Practice Address - Fax:307-387-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health