Basic Information
| Provider Information | |||||||||
| NPI: | 1639714603 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RINGOLSBY | ||||||||
| FirstName: | LARAMIE | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | PCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 E 17TH ST | ||||||||
| Address2: | |||||||||
| City: | CHEYENNE | ||||||||
| State: | WY | ||||||||
| PostalCode: | 820014608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3076319931 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 300 E 17TH ST | ||||||||
| Address2: | |||||||||
| City: | CHEYENNE | ||||||||
| State: | WY | ||||||||
| PostalCode: | 820014608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3076319931 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2019 | ||||||||
| LastUpdateDate: | 11/13/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | PCSW-873 | WY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.