Integrative Well-Being

Organization Active NPI Clinical Social Worker · Laramie, WY

NPI 1033544150 · NPPES record last updated Sep 9, 2013

Key facts

NPI
1033544150
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCSW606 (WY)
Legal business name
INTEGRATIVE WELL-BEING
Practice address
1622 Shield St
Laramie, WY 82072-2333
Phone
(307) 760-5450
NPI assigned
Sep 9, 2013
Organization subpart
No

Authorized official

Name
Susan L Bertilson, LCSW
Title
Owner
Phone
(307) 760-5450

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X LCSW606 WY Yes

Addresses

Primary practice location

1622 Shield St
Laramie, WY 82072-2333

Mailing address

1622 Shield St
Laramie, WY 82072-2333
Phone (307) 760-5450

Other providers in Laramie, WY

All providers in Laramie, WY · Clinical Social Worker in Wyoming

Sources for this page

Verify at the official NPI Registry.