| Mountain Therapy Pllc | |
|
555 E Broadway Ave Suite 216 Jackson WY 83001-8640 | |
| (404) 483-2555 | |
| Not Available |
| Full Name | Mountain Therapy Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 555 E Broadway Ave, Jackson, Wyoming |
| Authorized Official Name and Position | Lorraine Steinheimer (OWNER) |
| Authorized Official Contact | 4044832555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Therapy Pllc Po Box 2019 Jackson WY 83001-2019 Ph: (404) 483-2555 | Mountain Therapy Pllc 555 E Broadway Ave Suite 216 Jackson WY 83001-8640 Ph: (404) 483-2555 |
| NPI Number | 1336588672 |
|---|---|
| Provider Enumeration Date | 06/20/2013 |
| Last Update Date | 09/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336588672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-1357 (Wyoming) | Primary |
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