# SPIRIT LAKE TRIBE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SLT Recovery and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588865794
- **Authorized official:** MS. LINDA S PELTIER (3RD PARTY BILLING MANAGER)
- **Authorized official phone:** (701) 766-1667

## Contact information

- **Practice address:** 7527 EPHRAIM HILL ROAD, FORT TOTTEN, ND 58335-0088
- **Practice address phone:** (701) 766-4285
- **Practice address fax:** (701) 766-1229
- **Mailing address:** 7527 EPHRAIM HILL ROAD, FORT TOTTEN, ND 58335-0088
- **Mailing address phone:** (701) 766-4285
- **Mailing address fax:** (701) 766-1229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | 814 | ND | — |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 09/23/2021