Organization
OPEN ROAD THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON M BISHOP MSW, LCSW (OWNER)
(307) 235-3333
Entity
Organization
Contact information
Practice address
1300 E A ST STE 201, CASPER, WY 82601-2252
(307) 235-3333
Mailing address
1300 E A ST STE 201, CASPER, WY 82601-2252
(307) 235-3333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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