Organization · Type 2 NPI

High Country Behavioral Health

Mental Health Clinic/Center (Including Community Mental Health Center) · Kemmerer, WY

NPI number 1972624062 Active

Practice location

821 Sage Ave
Kemmerer, WY 83101-3127

Fax (307) 877-9832

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Addiction Medicine (Family Medicine) Physician	207QA0401X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	405 (WY)
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	LPC-550 (WY)
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	405 (WY)
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	LAT-220 (WY)
Clinical Medical Laboratory	291U00000X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

5 other providers at this address

NPI record

NPI: 1972624062
Entity type: Organization (Type 2)
Issued: Apr 3, 2007
Last updated: Jun 8, 2022
Status: Active

Other names

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High Country Counseling and Resource Centers · former legal business name
High Country Counseling and Resource Centers · former legal business name

Authorized official

Kipp L Dana, LPC, LAT
Executive Director
(307) 885-9883

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972624062

High Country Behavioral Health's National Provider Identifier is 1972624062, issued on Apr 3, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Kemmerer, WY. The record was last updated on Jun 8, 2022.