T&t Rising Phoenix LLC

NPI #1134830268 in Cheyenne, Wyoming

Provider Information

NPI Number: 1134830268
Entity Type: Organization
Organization Name: T&t Rising Phoenix LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Dec 9, 2022
Last Updated: Aug 5, 2025

Practice Location

Address: 1103 OLD TOWN LN
City: Cheyenne
State: Wyoming
ZIP Code: 82009-4353
Phone: (307) 426-4855

Authorized Official

Name: ALEXANDRA KANE, LCSW
Title: CLINICAL DIRECTOR
Phone: (307) 426-4855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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