# LAUREN GRAHAM LLC

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

## Provider details

- **NPI number:** 1831680636
- **Authorized official:** LAUREN ALINE GRAHAM LCSW (OWNER)
- **Authorized official phone:** (307) 250-0645

## Contact information

- **Practice address:** 323 N DIVISION ST, POWELL, WY 82435-2207
- **Practice address phone:** (307) 250-0645
- **Practice address fax:** (888) 247-7592
- **Mailing address:** PO BOX 270, POWELL, WY 82435-0270
- **Mailing address phone:** (307) 250-0645
- **Mailing address fax:** (888) 247-7592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | LCSW-838 | WY | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | LCSW-838 | WY | — |

## Other

- **Enumeration date:** 05/29/2018
- **Last updated:** 05/29/2018
