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Organization
HEADWATERS MENTAL HEALTH AND WELLNESS LLC
Active
Organization
HEADWATERS MENTAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVE GRINNELL BARNETT PMHNP (OWNER)
(503) 505-1468
Entity
Organization
Contact information
Practice address
690 S HWY 89 STE 201, JACKSON, WY 83001-8508
(307) 264-0628
Mailing address
PO BOX 1243, JACKSON, WY 83001-1243
(307) 264-0628
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/17/2026
Last updated
09/17/2026
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