Organization
WILD FLOWER THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA TREVIS MSW, LCSW (LICENSED CLINICAL SOCIAL WORKER)
(720) 394-6005
Entity
Organization
Contact information
Practice address
3031 S RUSSELL ST STE B, MISSOULA, MT 59801-8523
(406) 233-9246
Mailing address
913 SW HIGGINS AVE STE 201, MISSOULA, MT 59803-1423
(406) 233-9246
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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