Rising Phoenix Counseling L.c.
NPI #1093303349 in Rock Springs, Wyoming
Provider Information
- NPI Number
- 1093303349
- Entity Type
- Organization
- Organization Name
- Rising Phoenix Counseling L.c.
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 4, 2021
- Last Updated
- Feb 9, 2021
Practice Location
- Address
- 1471 DEWAR DR STE 216
- City
- Rock Springs
- State
- Wyoming
- ZIP Code
- 82901-5826
- Phone
- (307) 382-0743
Authorized Official
- Name
- TIFFANI JEAN BEATTY, LCSW
- Title
- DIRECTOR/OWNER
- Phone
- (307) 382-0743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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