Organization
HARVEST WHOLENESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALEY MARIE BURKE (DIRECTOR/OWNER)
(406) 396-3660
Entity
Organization
Contact information
Practice address
410 W SPRUCE ST, MISSOULA, MT 59802-4106
(406) 214-3974
Mailing address
410 W SPRUCE ST, MISSOULA, MT 59802-4106
(406) 214-3974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
171100000X
Acupuncturist
—
—
208D00000X
General Practice Physician
—
—
221700000X
Art Therapist
—
—
225700000X
Massage Therapist
—
—
225A00000X
Music Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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