# LIVING WELL, LLC

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

## Provider details

- **NPI number:** 1639686462
- **Authorized official:** KELLIE MILDENBERGER LCSW (OWNER/THERAPIST)
- **Authorized official phone:** (406) 363-2873

## Contact information

- **Practice address:** 400 W MAIN ST STE 203, HAMILTON, MT 59840-2443
- **Practice address phone:** (406) 363-2873
- **Mailing address:** PO BOX 1707, HAMILTON, MT 59840-1707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 7731-C | NV | — |
| 1041C0700X | Clinical Social Worker | BBH-LCSW-LIC-12274 | MT | Yes |

## Other

- **Enumeration date:** 01/02/2018
- **Last updated:** 03/28/2018
