Organization
TRANSFORMATIONAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA TUTHILL LPC (PSYCHOTHERAPIST)
(307) 399-0003
Entity
Organization
Contact information
Practice address
652 N PIERCE ST, LARAMIE, WY 82070-6032
(307) 399-0003
(307) 742-6572
Mailing address
652 N PIERCE ST, LARAMIE, WY 82070-6032
(307) 399-0003
(307) 742-6572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1309
WY
Other
Enumeration date
11/08/2013
Last updated
11/12/2013
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