Rising Tides Counseling Llc | |
1438 Sheridan Ave Ste 106 Cody WY 82414-3736 | |
(307) 578-6520 | |
Not Available |
Full Name | Rising Tides Counseling Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1438 Sheridan Ave Ste 106, Cody, Wyoming |
Authorized Official Name and Position | Amber M Reynolds (OWNER) |
Authorized Official Contact | 3075786520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rising Tides Counseling Llc 21 Arrowhead Dr Cody WY 82414-8856 Ph: (307) 578-6520 | Rising Tides Counseling Llc 1438 Sheridan Ave Ste 106 Cody WY 82414-3736 Ph: (307) 578-6520 |
NPI Number | 1578370839 |
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Provider Enumeration Date | 12/11/2024 |
Last Update Date | 12/11/2024 |
Certification Date | 12/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578370839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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