TETON PSYCHOLOGY CLINIC, LLC – NPI #1659516318
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Health Care Provider Taxonomy Code for Clinic/Center

TETON PSYCHOLOGY CLINIC, LLC is an AHC clinic located in JACKSON, WY. NPPES has assigned the NPI number 1659516318 to TETON PSYCHOLOGY CLINIC, LLC on December 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TETON PSYCHOLOGY CLINIC, LLC below.

NPI Profile for
TETON PSYCHOLOGY CLINIC, LLC

NPI Number
1659516318
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TETON PSYCHOLOGY CLINIC, LLC
Primary location
460 SOUTH CACHE STREET
JACKSON, WY 83001
Phone: (307) 690-9836 Fax: (307) 739-4522
Mailing address
PO BOX 3143
460 SOUTH CACHE STREET
JACKSON, WY 83001-3143
Phone: (307) 690-9836 Fax: (307) 739-4522
Organization Subpart
No
Authorized Official
WENDY LAAKMANN
DIRECTOR
Phone: (307) 690-9836
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)		 WY 399

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.