# SOUTHWEST COUNSELING SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHWEST COUNSELING SERVICE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639914278
- **Legal business name:** SOUTHWEST COUNSELING SERVICE
- **Authorized official:** HEATHER GONZALEZ (AR SUPERVISOR)
- **Authorized official phone:** (307) 352-6677

## Contact information

- **Practice address:** 2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
- **Practice address phone:** (307) 352-6677
- **Mailing address:** 2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
- **Mailing address phone:** (307) 352-6677
- **Mailing address fax:** (307) 352-6614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2024
- **Last updated:** 06/26/2024