Jackson Hole Mental Health LLC
Jackson Hole Mental Health LLC provides Clinical Social Worker services in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2015.
- Licensed in
- WY
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
310 E Broadway AveJackson, WY 83001-8636
Phone: (307) 654-7003
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 742 (WY) |
|---|
Record details
| NPI number | 1053704726 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leah Black — Owner/Executive Director · (307) 654-7003 |
| NPI enumerated | March 5, 2015 |
| Last updated in NPPES | April 1, 2024 |
| Certification date | April 1, 2024 |
| Mailing address | Po Box 13572, Jackson, WY 83002-3572 |
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