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Organization
SOUTHWEST COUNSELING SERVICE
Active
Organization
SOUTHWEST COUNSELING SERVICE
Active
Parent organization
SOUTHWEST COUNSELING SERVICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST COUNSELING SERVICE
Authorized official
MELISSA JANAE WRAY-MARCHETTI (CEO)
(307) 352-6677
Entity
Organization
Contact information
Practice address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614
Mailing address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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