SOUTHWEST COUNSELING SERVICE
NPI 1992541734
Community Based Residential Treatment Facility, Mental Illness in Evanston, WY

Active since July 02, 2024
85 PARK RD APT 1, EVANSTON, WY 82930(307) 352-6677 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

About SOUTHWEST COUNSELING SERVICE

This page provides the complete NPI Profile along with additional information for Southwest Counseling Service, a provider established in Evanston, Wyoming operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1992541734 assigned on July 2024. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Heather Gonzalez (Ar Supervisor)

NPI
1992541734 Verify this NPI
Provider Name
SOUTHWEST COUNSELING SERVICE
Entity Type
Organization
Location Address
85 PARK RD APT 1 EVANSTON, WY 82930
Location Phone
(307) 352-6677
Mailing Address
2300 FOOTHILL BLVD ROCK SPRINGS, WY 82901
Mailing Phone
(307) 352-6677
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-02-2024
Last Update Date
07-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HEATHER GONZALEZ

Authorized Official Title
AR SUPERVISOR
Authorized Official Phone
(307) 352-6677

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992541734, enumerated as an "organization" on July 02, 2024.

The provider is located at 85 PARK RD APT 1 EVANSTON, WY 82930 and the phone number is (307) 352-6677.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.