Wholly Authentic Life LLC

NPI #1043930993 in Fairfield, Montana

Provider Information

NPI Number
1043930993
Entity Type
Organization
Organization Name
Wholly Authentic Life LLC
Primary Specialty
Clinic/Center
Enumeration Date
Aug 31, 2022
Last Updated
Sep 29, 2023

Practice Location

Address
201 1ST AVE N
State
Montana
ZIP Code
59436-9245
Phone
(406) 799-2711

Authorized Official

Name
MRS. TAMMIE S SMITH, LCPC
Title
MBR
Phone
(406) 799-2711

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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