Organization
LS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA SANDERSON (CLINICAL DIRECTOR)
(435) 640-3138
Entity
Organization
Contact information
Practice address
1800 EDINBURGH ST, RAWLINS, WY 82301-4506
(307) 324-8820
Mailing address
596 ASH CT, KAMAS, UT 84036-9275
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1149
WY
251S00000X
Community/Behavioral Health Agency
1149
WY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1149
WY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
03/21/2018
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