Organization
TWO RIVERS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA L. WETHERELT APRN (FNP-C, PMHNP-BC)
(406) 234-2929
Entity
Organization
Contact information
Practice address
2911 WILSON ST, MILES CITY, MT 59301-5722
(406) 234-2929
(406) 234-2928
Mailing address
1552 CARTERSVILLE RD, ROSEBUD, MT 59347-9522
(406) 351-2196
(406) 234-2928
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4307966
—
MT
Enumeration date
03/18/2020
Last updated
05/27/2021
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