Provider Demographics
NPI:1881451003
Name:MARTHA NESSLINGER
Entity type:Organization
Organization Name:MARTHA NESSLINGER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRINCIPAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NESSLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:307-760-5500
Mailing Address - Street 1:2514 OVERLAND RD
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-4809
Mailing Address - Country:US
Mailing Address - Phone:307-760-5500
Mailing Address - Fax:307-742-9717
Practice Address - Street 1:502 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82070-3704
Practice Address - Country:US
Practice Address - Phone:307-760-5500
Practice Address - Fax:307-742-9717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty