Organization
ELEVATE MIND & HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LEE HAMBLIN PMHNP-BC (OWNER)
(307) 871-6304
Entity
Organization
Contact information
Practice address
1030 MEDICINE BOW DR, GREEN RIVER, WY 82935-5537
(307) 871-6304
Mailing address
1030 MEDICINE BOW DR, GREEN RIVER, WY 82935-5537
(307) 871-6304
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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