Healthcare Provider Details

I. General information

NPI: 1588442537
Provider Name (Legal Business Name): EMILY J CALL MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY MUNDY MS

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 SHERIDAN AVE
CODY WY
82414-3409
US

IV. Provider business mailing address

2730 WEST AVE UNIT C
CODY WY
82414-8455
US

V. Phone/Fax

Practice location:
  • Phone: 307-578-2531
  • Fax:
Mailing address:
  • Phone: 970-201-6994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-2588
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: