| Somatic Revelations, Llc | |
|
2020 E Grand Ave Ste 421 & 412 Laramie WY 82070-4370 | |
| (307) 200-9228 | |
| (307) 460-9084 |
| Full Name | Somatic Revelations, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2020 E Grand Ave Ste 421 & 412, Laramie, Wyoming |
| Authorized Official Name and Position | Tyler S. Tedmon-jones (PROVIDER/OWNER) |
| Authorized Official Contact | 3072009228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somatic Revelations, Llc Po Box 594 Laramie WY 82073-0594 Ph: (307) 200-9228 | Somatic Revelations, Llc 2020 E Grand Ave Ste 421 & 412 Laramie WY 82070-4370 Ph: (307) 200-9228 |
| NPI Number | 1285251967 |
|---|---|
| Provider Enumeration Date | 06/29/2020 |
| Last Update Date | 01/07/2025 |
| Certification Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285251967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 225600000X | Dance Therapist | (* (Not Available)) | Secondary |
Cathedral Home For Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4989 N 3rd St, Laramie, WY 82072 Phone: 307-745-8997 | |
Pendley And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1277 N 15th St, Laramie, WY 82072 Phone: 307-742-6222 | |
Ark Regional Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 N 3rd St, Laramie, WY 82072 Phone: 307-742-6641 Fax: 307-742-9203 | |
Overcomer Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 265 N 4th St, Laramie, WY 82072 Phone: 307-399-0791 | |
Cathedral Home For Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4989 N 3rd St, Laramie, WY 82072 Phone: 307-640-6123 Fax: 307-742-6146 | |
Integrative Well-being Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1622 Shield St, Laramie, WY 82072 Phone: 307-760-5450 | |
Aktos Analytics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1465 N 4th St, Suite #119, Laramie, WY 82072 Phone: 307-721-0700 |