# INTEGRATIVE WELL-BEING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033544150
- **Authorized official:** SUSAN L BERTILSON LCSW (OWNER)
- **Authorized official phone:** (307) 760-5450

## Contact information

- **Practice address:** 1622 SHIELD ST, LARAMIE, WY 82072-2333
- **Practice address phone:** (307) 760-5450
- **Mailing address:** 1622 SHIELD ST, LARAMIE, WY 82072-2333
- **Mailing address phone:** (307) 760-5450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | LCSW606 | WY | Yes |

## Other

- **Enumeration date:** 09/09/2013
- **Last updated:** 09/09/2013