# RISING PHOENIX COUNSELING L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093303349
- **Authorized official:** TIFFANI JEAN BEATTY LCSW (DIRECTOR/OWNER)
- **Authorized official phone:** (307) 382-0743

## Contact information

- **Practice address:** 1471 DEWAR DR STE 216, ROCK SPRINGS, WY 82901-5826
- **Practice address phone:** (307) 382-0743
- **Practice address fax:** (844) 861-9507
- **Mailing address:** 1471 DEWAR DR STE 216, ROCK SPRINGS, WY 82901-5826
- **Mailing address phone:** (307) 382-0743
- **Mailing address fax:** (844) 861-9507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2021
- **Last updated:** 02/09/2021