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High Country Behavioral Health

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Evanston, WY

NPI 1770859548 · NPPES record last updated Jun 8, 2022

Key facts

NPI
1770859548
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
HIGH COUNTRY BEHAVIORAL HEALTH
Practice address
100 Yellowstone River Dr
Evanston, WY 82930-5371
Phone
(307) 789-4224
Fax
(307) 789-4225
NPI assigned
Mar 27, 2012
Organization subpart
No

Authorized official

Name
Kipp Dana, LAT, LPC
Title
Executive Director
Phone
(307) 885-9883

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

National Provider Directory

Tax ID family
High Country Behavioral Health (27 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Addiction Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207QA0401X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

100 Yellowstone River Dr
Evanston, WY 82930-5371

Mailing address

100 Yellowstone River Dr
Evanston, WY 82930-5371
Phone (307) 789-4224

Other providers in Evanston, WY

All providers in Evanston, WY · Mental Health Clinic/Center (Including Community Mental Health Center) in Wyoming

Sources for this page

Verify at the official NPI Registry.