Open Space Counseling Services LLC

NPI #1952943961 in Cody, Wyoming

Provider Information

NPI Number: 1952943961
Entity Type: Organization
Organization Name: Open Space Counseling Services LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 10, 2019
Last Updated: Oct 10, 2019

Practice Location

Address: 956 12TH ST
City: Cody
State: Wyoming
ZIP Code: 82414-3602
Phone: (307) 272-2534

Authorized Official

Name: JESSICA WILLIAMS, LPC
Title: OWNER
Phone: (307) 272-2534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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