Transformational Wellness LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1309 Issued in WY

Legal business name

TRANSFORMATIONAL WELLNESS LLC

Practice address

652 N Pierce St
Laramie, WY 82070-6032

Phone

(307) 399-0003

Fax

(307) 742-6572

NPI assigned

Nov 8, 2013

Last updated

Nov 12, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Tuthill, LPC

Title

Psychotherapist

Phone

(307) 399-0003

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1629407762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 N PIERCE ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820706032",
            "telephone_number": "307-399-0003",
            "fax_number": "307-742-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 N PIERCE ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820706032",
            "telephone_number": "307-399-0003",
            "fax_number": "307-742-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "TUTHILL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "307-399-0003",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "1309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Laramie, WY
• Providers in Laramie, WY by specialty
• Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.