Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Proud Mental Health LLC

Organization Mental Health Counselor · NPI 1093661241

Proud Mental Health LLC is a Mental Health Counselor in Sheridan, Wyoming. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1309 Coffeen Ave # 19118
Sheridan, WY 82801-5777
Phone: (657) 229-5479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1093661241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Shaw — Owner/Ceo · (657) 229-5479
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1309 Coffeen Ave # 19118, Sheridan, WY 82801-5777

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