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Organization

RISING SUN WELLNESS CENTER

Active
Other names
Cloud Peak Initiatives
Organization subpart
No

Provider details

NPI number
Authorized official
RODERICK FOLEY MS, LPC, NCC (DIRECTOR)
(307) 674-1668
Entity
Organization

Contact information

Practice address
151 W BRUNDAGE ST, SHERIDAN, WY 82801
(307) 674-1668
(307) 674-1667
Mailing address
151 W BRUNDAGE ST, SHERIDAN, WY 82801-4217
(307) 674-1668
(307) 674-1667

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120820900
WY
05
120820901
WY
Enumeration date
03/01/2007
Last updated
12/30/2020
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