NPI 1205087962

Phoenix Rising Counseling, PC

Organisation Community/Behavioral Health Agency Cody, WY

Practice location

Address: 1001 14th St, Cody, WY 82414-3745
Phone: (307) 587-6288
Mailing address: PO Box 2444, Cody, WY 82414-2444

Authorised official

Name: Leyla Dim
Title: Director
Phone: (307) 587-6288

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence PPC-392 (WY)

Other Community/Behavioral Health providers in Wyoming →

Registry record

NPI: 1205087962
Entity type: Organization
NPI issued: 30 Sep 2008
Record last updated: 30 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.