# MOUNTAIN WILDFLOWER PSYCHOTHERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114314713
- **Authorized official:** MICHELLE HINES LCSW (OWNER)
- **Authorized official phone:** (406) 490-5198

## Contact information

- **Practice address:** 46 N LAST CHANCE GULCH, HELENA, MT 59601-4122
- **Practice address phone:** (406) 490-5198
- **Mailing address:** PO BOX 423, HELENA, MT 59624-0423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 7848 | MT | Yes |

## Other

- **Enumeration date:** 04/21/2015
- **Last updated:** 04/21/2015