Organization · NPI-2

High Country Behavioral Health

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

NPI number1891099545

StatusActive

Last updated in NPPESNov 3, 2025

Details

NPI: 1891099545
Entity type: Organization (NPI-2)
Legal business name: High Country Behavioral Health
Organization subpart: No
Enumeration date: Jan 10, 2011
Certification date: Nov 3, 2025
Last updated: Nov 3, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	LPC-550	WY	Yes
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	LAT-220	WY
207Q00000X	Family Medicine	–	–
291U00000X	Clinical Medical Laboratory	–	–
207QA0401X	Family Medicine, Addiction Medicine	–	–
251S00000X	Community/Behavioral Health	–	WY

Practice location

190 Overthrust Rd
Ste 105
Evanston, WY 82930-5205

Phone 307-789-4224 · Fax 307-789-4225

Mailing address

Po Box 2910
Evanston, WY 82931-2910

Phone 307-789-4224 · Fax 307-789-4225

Authorized official

Kipp L Dana
Executive Director
3078859883

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