# WELLSPRING THERAPEUTIC SERVICES

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

## Provider details

- **NPI number:** 1558847384
- **Authorized official:** LORI MARIANI (OWNER/OPERATOR)
- **Authorized official phone:** (406) 314-0152

## Contact information

- **Practice address:** 725 6TH AVE E, KALISPELL, MT 59901-5005
- **Practice address phone:** (406) 314-0152
- **Mailing address:** 725 6TH AVE E, KALISPELL, MT 59901-5005
- **Mailing address phone:** (406) 314-0152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 11384 | MT | Yes |

## Other

- **Enumeration date:** 07/16/2018
- **Last updated:** 07/16/2018