Organization
MOUNTAIN WILDFLOWER PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HINES LCSW (OWNER)
(406) 490-5198
Entity
Organization
Contact information
Practice address
46 N LAST CHANCE GULCH, HELENA, MT 59601-4122
(406) 490-5198
Mailing address
PO BOX 423, HELENA, MT 59624-0423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7848
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0379314
—
MT
Enumeration date
04/21/2015
Last updated
04/21/2015
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