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Organization

WILD ROSE INTEGRATIVE HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDSAY DEGROOT LCPC (OWNER)
(406) 570-2692
Entity
Organization

Contact information

Practice address
222 E MAIN ST UNIT 1E, ENNIS, MT 59729-9230
(406) 570-2692
Mailing address
PO BOX 1661, ENNIS, MT 59729-1661
(406) 570-2692

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
101YS0200X
School Counselor
104100000X
Social Worker
174N00000X
Lactation Consultant (Non-RN)
175F00000X
Naturopath
225700000X
Massage Therapist
363A00000X
Physician Assistant

Other

Enumeration date
09/19/2022
Last updated
02/28/2025
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