# TRAUMA AND ATTACHMENT INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trauma and Attachment Institute LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710704929
- **Authorized official:** DR. JENISE WILSON PH.D., LPCC-S, NCC (COUNSELOR/OWNDER)
- **Authorized official phone:** (701) 391-7399

## Contact information

- **Practice address:** 314 E THAYER AVE STE 222, BISMARCK, ND 58501-4018
- **Practice address phone:** (701) 391-7399
- **Mailing address:** 507 N 27TH ST, BISMARCK, ND 58501-3115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2024
- **Last updated:** 10/14/2024