OrganizationActive
Lisa Otto, Lcsw LLC
NPI 1356923627 · Mental Health Clinic/Center (Including Community Mental Health Center) · Laramie, WY
Provider details
- NPI number
- 1356923627
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Otto, Ceo(307) 760-2517
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
121 E Grand Ave Ste 209
Laramie, WY 82070-3652
Phone: (307) 760-2517
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 982
Laramie, WY 82073-0982
Registry dates
- Enumerated
- 2021-04-26
- Last updated
- 2021-04-26
- Certified
- 2021-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.