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
Authorized Official
- Name
- MRS. TAMMIE S SMITH, LCPC
- Title
- MBR
- Phone
- (406) 799-2711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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| Northern Montana Hospital Part of Northern Montana Hospital |
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