Healthcare Provider Details
I. General information
NPI: 1326953845
Provider Name (Legal Business Name): 307 HOPE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1208 HILLTOP DR STE 104
ROCK SPRINGS WY
82901-5858
US
IV. Provider business mailing address
1208 HILLTOP DR STE 104
ROCK SPRINGS WY
82901-5858
US
V. Phone/Fax
- Phone: 307-371-2427
- Fax: 858-947-2019
- Phone: 307-371-2427
- Fax: 858-947-2019
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TAMARA
SUE
WALKER
Title or Position: MEDICAL DIRECTOR
Credential: PMHNP, PNP, PMHS
Phone: 307-371-2427