| Wild Roots Counseling, Llc | |
|
337 Robert St Cody WY 82414-9268 | |
| (307) 899-2492 | |
| Not Available |
| Full Name | Wild Roots Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 337 Robert St, Cody, Wyoming |
| Authorized Official Name and Position | Jamaica Santos Moulton (OWNER) |
| Authorized Official Contact | 3072545048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Roots Counseling, Llc Po Box 2772 Cody WY 82414-2772 Ph: (307) 899-2492 | Wild Roots Counseling, Llc 337 Robert St Cody WY 82414-9268 Ph: (307) 899-2492 |
| NPI Number | 1790484889 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790484889 | NPI | - | NPPES |
| 1326474156 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
Gateway Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 Beck Ave, Cody, WY 82414 Phone: 307-587-8889 | |
Daniel Cossaboon Private Practice Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 14th St, Cody, WY 82414 Phone: 307-250-7527 | |
Frontier Neurosciences, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1008 13th St, Suite A, Cody, WY 82414 Phone: 307-578-1985 Fax: 307-578-1938 | |
Fern Ridge Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1120 Beck Ave, Cody, WY 82414 Phone: 307-578-7601 | |
Mindful Psychology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 Stampede Ave, Cody, WY 82414 Phone: 307-250-2988 | |
Encompass Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1735 Sheridan Ave Ste 221, Cody, WY 82414 Phone: 307-202-3452 | |
Phoenix Rising Counseling, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 14th St, Cody, WY 82414 Phone: 307-587-6288 |