Rising Phoenix Counseling L.c. | |
1471 Dewar Dr Ste 216 Rock Springs WY 82901-5826 | |
(307) 382-0743 | |
(844) 861-9507 |
Full Name | Rising Phoenix Counseling L.c. |
---|---|
Speciality | Social Worker - Clinical |
Location | 1471 Dewar Dr Ste 216, Rock Springs, Wyoming |
Authorized Official Name and Position | Tiffani Jean Beatty (DIRECTOR/OWNER) |
Authorized Official Contact | 3073820743 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rising Phoenix Counseling L.c. 1471 Dewar Dr Ste 216 Rock Springs WY 82901-5826 Ph: (307) 382-0743 | Rising Phoenix Counseling L.c. 1471 Dewar Dr Ste 216 Rock Springs WY 82901-5826 Ph: (307) 382-0743 |
NPI Number | 1093303349 |
---|---|
Provider Enumeration Date | 01/04/2021 |
Last Update Date | 02/09/2021 |
Certification Date | 02/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093303349 | NPI | - | NPPES |
144270800 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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