Teton Behavior Therapy

LBN: Tbt, Llc
Teton Behavior Therapy is an health care organization with primary practice located at 480 S Cache St , Jackson WY 83001-8222. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Tbt, Llc can be contacted via phone (307) 734-6040, or through Bradof, Jennifer via phone (307) 734-6040.

Contact Information

Primary practice address
480 S Cache St Jackson WY 83001-8222
Phone: (307) 734-6040
Fax: (307) 734-6040
Website:
Map and Directions
Authorized official contact:
Name: Bradof, Jennifer Licensed Clinical Social Worker (LCSW)
Phone: (307) 734-6040

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X LCSW-837 Wyoming

Profile Details

NPI number 1407230766
LBN Legal business name Tbt, Llc
DBA Doing business as Teton Behavior Therapy
Authorized official Bradof, Jennifer Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2015
Last updated Jul 16th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407230766 NPPES
Wyoming MEDICAID 137887200

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