Organization
T&T RISING PHOENIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA KANE LCSW (CLINICAL DIRECTOR)
(307) 426-4855
Entity
Organization
Contact information
Practice address
1103 OLD TOWN LN, CHEYENNE, WY 82009-4353
(307) 426-4855
(307) 426-4865
Mailing address
1103 OLD TOWN LN, CHEYENNE, WY 82009-4353
(307) 426-4855
(307) 426-4865
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
08/05/2025
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