OrganizationActive
High Country Behavioral Health
NPI 1891099545 · Mental Health Clinic/Center (Including Community Mental Health Center) · Evanston, WY
Provider details
- NPI number
- 1891099545
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kipp Dana, Executive Director(307) 885-9883
- License
- LAT-220 (WY)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense LPC-550 (WY)
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Clinical Medical Laboratory291U00000X
Laboratories
Allopathic & Osteopathic Physicians
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
190 Overthrust Rd
Ste 105
Evanston, WY 82930-5205
Phone: (307) 789-4224
Fax: (307) 789-4225
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2910
Evanston, WY 82931-2910
Registry dates
- Enumerated
- 2011-01-10
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.