OrganizationActive
Teton Wellness Affiliates
NPI 1407480890 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jackson, WY
Provider details
- NPI number
- 1407480890
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lorraine Thompson, Owner(307) 699-5025
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
125 E Pearl Ave Ste B005
Jackson, WY 83001-8599
Phone: (307) 699-5025
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2019
Jackson, WY 83001-2019
Registry dates
- Enumerated
- 2020-02-25
- Last updated
- 2020-06-23
- Certified
- 2020-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.