Organization
SOUTHWEST COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA J ACKER LPC (EXECUTIVE DIRECTOR)
(307) 352-6680
Entity
Organization
Contact information
Practice address
1124 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 352-6677
(307) 352-6614
Mailing address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6680
(307) 352-6614
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1061151-00
—
WY
Enumeration date
11/09/2006
Last updated
05/28/2024
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