# INNERTHREAD PLLC

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

## Provider details

- **NPI number:** 1114894821
- **Authorized official:** CORDIE M LICCIARDI (MANAGER/ CREDENTIAL SPECIALIST)
- **Authorized official phone:** (701) 580-4091

## Contact information

- **Practice address:** 406 MAIN ST, WOLF POINT, MT 59201-1534
- **Practice address phone:** (406) 688-9740
- **Mailing address:** 283 MENDENHALL RD, WOLF POINT, MT 59201-7128
- **Mailing address phone:** (406) 688-9740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2025
- **Last updated:** 10/20/2025
