Organization
BIG SKY WELLNESS LLC
Active
Organization
BIG SKY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTINA ROSE PONTIOUS RICARDS MARKS LMSW (OWNER)
(989) 878-0255
Entity
Organization
Contact information
Practice address
2706 LOUANNA ST, MIDLAND, MI 48640-4422
(989) 878-0255
Mailing address
15 BEECH ST, SANFORD, MI 48657-9517
(989) 878-0255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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