Labounta, Rickie L

Labounta, Rickie L is an individual health care provider with primary practice located at 1841 Madora Ave , Douglas WY 82633-3057. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Labounta, Rickie L can be contacted via phone (307) 358-2846.

Contact Information

Primary practice address
1841 Madora Ave Douglas WY 82633-3057
Phone: (307) 358-2846
Fax: (307) 358-1144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Wyoming
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP-174 Wyoming

Profile Details

NPI number 1609361997
LBN Legal business name Labounta, Rickie L
Credentials CAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2018
Last updated Jan 31st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609361997 NPPES
Wyoming MEDICAID 106402908
Wyoming MEDICAID 106402907

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