# FERN RIDGE COUNSELING, LLC

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

## Provider details

- **NPI number:** 1124521547
- **Authorized official:** MRS. NEISHA M POTTER LCSW (OWNER, THERAPIST)
- **Authorized official phone:** (307) 578-7601

## Contact information

- **Practice address:** 1120 BECK AVE, CODY, WY 82414-3624
- **Practice address phone:** (307) 578-7601
- **Mailing address:** 1120 BECK AVE, CODY, WY 82414-3624
- **Mailing address phone:** (307) 250-0194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | LCSW-1090 | WY | Yes |

## Other

- **Enumeration date:** 03/12/2018
- **Last updated:** 08/24/2021