Organization
RISING PHOENIX SOLUTIONS WYOMING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRBIE BROWN LCSW (OWNER)
(307) 314-2319
Entity
Organization
Contact information
Practice address
2321 DUNN AVE, CHEYENNE, WY 82001-3214
(307) 314-2319
Mailing address
1623 CENTRAL AVE STE 202, CHEYENNE, WY 82001-4531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/29/2022
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