# HIGH COUNTRY BEHAVIORAL HEALTH

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

## Provider details

- **NPI number:** 1467123984
- **Authorized official:** SHANNON NIZER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (307) 885-9888

## Contact information

- **Practice address:** 1841 MADORA AVE, DOUGLAS, WY 82633-3057
- **Practice address phone:** (307) 358-2846
- **Practice address fax:** (307) 358-1144
- **Mailing address:** PO BOX 376, AFTON, WY 83110-0376
- **Mailing address phone:** (307) 885-9883
- **Mailing address fax:** (307) 885-5206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 09/23/2021
- **Last updated:** 11/03/2025