Organization
SOUTHWEST COUNSELING SERVICE
Active
Parent organization
SOUTHWEST COUNSELING SERVICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST COUNSELING SERVICE
Authorized official
MELISSA JANAE WRAY-MARCHETTI (CEO)
(307) 352-6677
Entity
Organization
Contact information
Practice address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614
Mailing address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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