| Mariposa Mental Health, Llc | |
|
580 E Broadway Ave Jackson WY 83001-8640 | |
| (617) 312-7737 | |
| Not Available |
| Full Name | Mariposa Mental Health, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 580 E Broadway Ave, Jackson, Wyoming |
| Authorized Official Name and Position | Emily Bodner (OWNER) |
| Authorized Official Contact | 6173127737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariposa Mental Health, Llc 3465 N Pines Way Ste 104 Wilson WY 83014-9129 Ph: (617) 312-7737 | Mariposa Mental Health, Llc 580 E Broadway Ave Jackson WY 83001-8640 Ph: (617) 312-7737 |
| NPI Number | 1578341681 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578341681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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