| Phoenix Rising Counseling, Pc | |
|
1001 14th St Cody WY 82414-3745 | |
| (307) 587-6288 | |
| Not Available |
| Full Name | Phoenix Rising Counseling, Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1001 14th St, Cody, Wyoming |
| Authorized Official Name and Position | Leyla Dim (DIRECTOR) |
| Authorized Official Contact | 3075876288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling, Pc Po Box 2444 Cody WY 82414-2444 Ph: (307) 587-6288 | Phoenix Rising Counseling, Pc 1001 14th St Cody WY 82414-3745 Ph: (307) 587-6288 |
| NPI Number | 1205087962 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 09/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205087962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PPC-392 (Wyoming) | Primary |
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