| Transformational Wellness Llc | |
|
652 N Pierce St Laramie WY 82070-6032 | |
| (307) 399-0003 | |
| (307) 742-6572 |
| Full Name | Transformational Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 652 N Pierce St, Laramie, Wyoming |
| Authorized Official Name and Position | Lisa Tuthill (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3073990003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformational Wellness Llc 652 N Pierce St Laramie WY 82070-6032 Ph: (307) 399-0003 | Transformational Wellness Llc 652 N Pierce St Laramie WY 82070-6032 Ph: (307) 399-0003 |
| NPI Number | 1629407762 |
|---|---|
| Provider Enumeration Date | 11/08/2013 |
| Last Update Date | 11/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629407762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1309 (Wyoming) | Primary |
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