Healthcare Provider Details

I. General information

NPI: 1285876474
Provider Name (Legal Business Name): MONTIE S. SPINO LCMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ROCKY SPINO LPC

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 MAIN ST
TORRINGTON WY
82240-3340
US

IV. Provider business mailing address

PO BOX 1117
TORRINGTON WY
82240-1117
US

V. Phone/Fax

Practice location:
  • Phone: 307-532-4197
  • Fax:
Mailing address:
  • Phone: 307-532-4197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-2477
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: