Somatic Revelations, LLC

NPI #1285251967 in Laramie, Wyoming

Provider Information

NPI Number: 1285251967
Entity Type: Organization
Organization Name: Somatic Revelations, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 29, 2020
Last Updated: Jan 7, 2025

Practice Location

Address: 2020 E GRAND AVE STE 421 & 412
City: Laramie
State: Wyoming
ZIP Code: 82070-4370
Phone: (307) 200-9228

Authorized Official

Name: DR. TYLER S. TEDMON-JONES, PHD
Title: PROVIDER/OWNER
Phone: (307) 200-9228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dance Therapist	225600000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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