Organization
RISING PHOENIX COUNSELING L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI JEAN BEATTY LCSW (DIRECTOR/OWNER)
(307) 382-0743
Entity
Organization
Contact information
Practice address
1471 DEWAR DR STE 216, ROCK SPRINGS, WY 82901-5826
(307) 382-0743
(844) 861-9507
Mailing address
1471 DEWAR DR STE 216, ROCK SPRINGS, WY 82901-5826
(307) 382-0743
(844) 861-9507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144270800
—
WY
Enumeration date
01/04/2021
Last updated
02/09/2021
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