Organization
TIMBER THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY P. PORTER LCSW (LCSW, OWNER)
(307) 439-6424
Entity
Organization
Contact information
Practice address
4733 W YELLOWSTONE HWY, MILLS, WY 82604-2209
(307) 439-6424
Mailing address
PO BOX 50373, CASPER, WY 82605-0373
(307) 439-6424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148934801
—
WY
Enumeration date
01/04/2023
Last updated
07/19/2023
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