Organization
RISING TIDES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER M REYNOLDS LPC (OWNER)
(307) 578-6520
Entity
Organization
Contact information
Practice address
1438 SHERIDAN AVE STE 106, CODY, WY 82414-3736
(307) 578-6520
Mailing address
21 ARROWHEAD DR, CODY, WY 82414-8856
(307) 578-6520
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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