Provider Demographics
NPI:1730562448
Name:VERITATIS SPLENDOR COUNSELING INC
Entity type:Organization
Organization Name:VERITATIS SPLENDOR COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:MCCOLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-213-4341
Mailing Address - Street 1:1735 SHERIDAN AVE
Mailing Address - Street 2:SUITE 237
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-3855
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1735 SHERIDAN AVE
Practice Address - Street 2:SUITE 237
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-3855
Practice Address - Country:US
Practice Address - Phone:307-213-4341
Practice Address - Fax:307-587-5043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY957101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty