IndividualActive
Amanda Roth
NPI 1861032724 · Professional Counselor · Cody, WY
Provider details
- NPI number
- 1861032724
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPC-2124 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
956 12th St
Cody, WY 82414-3602
Phone: (307) 751-5111
Fax: (307) 587-4014
Approximate (ZIP-level) locationGet directions
Mailing address
326 34th St
Cody, WY 82414-9271
Additional practice locations (1)
- 2538 Big Horn AveCody, WY 82414-9299Phone: (307) 587-2197
Registry dates
- Enumerated
- 2020-01-08
- Last updated
- 2023-01-21
- Certified
- 2023-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.