SOMATIC REVELATIONS LLC NPI 1285251967

NPI Information

  • NPI: 1285251967
  • Provider Name: SOMATIC REVELATIONS, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2020 E GRAND AVE STE 421 & 412
    LARAMIE, WY
    ZIP 82070
  • Phone: (307) 200-9228

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NPI Details

SOMATIC REVELATIONS, LLC is a mental health counselor in Laramie, WY. SOMATIC REVELATIONS, LLC NPI is 1285251967. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2020 E GRAND AVE STE 421 & 412
LARAMIE, WY
ZIP 82070-370
Phone: (307) 200-9228
Fax: (307) 460-9084

The provider's authorized official is Tyler S. Tedmon-jones .
The authorized official title is Provider/owner and has the following contact phone number (307) 200-9228.

The enumeration date for this NPI number is 6/29/2020 and was last updated on 1/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes
2225600000XDance TherapistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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