Healthcare Provider Details

I. General information

NPI: 1376462523
Provider Name (Legal Business Name): HIGH COUNTRY MENTAL WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 VENTURE WAY
CASPER WY
82609-4353
US

IV. Provider business mailing address

3159 CARPENTERS PARK RD
DAVIDSVILLE PA
15928-9223
US

V. Phone/Fax

Practice location:
  • Phone: 888-281-7969
  • Fax:
Mailing address:
  • Phone: 888-281-7969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA GRIESHEIMER
Title or Position: CEO
Credential:
Phone: 888-281-7969