# WADING WATERS THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wading Waters Therapy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831971217
- **Authorized official:** DESTINY DAWN DEVINE MSW, LCSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (406) 750-1150

## Contact information

- **Practice address:** 114 W PINE ST STE 8, MISSOULA, MT 59802-4222
- **Practice address phone:** (406) 743-3473
- **Practice address fax:** (406) 821-7755
- **Mailing address:** 2424 BELT BUCKLE WAY, MISSOULA, MT 59808-9537
- **Mailing address phone:** (406) 750-1150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2023
- **Last updated:** 05/19/2025