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General NPI Number Information
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NPI Number | 1023977170
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Entity Type | Organization
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Legal Business Name | WISEBRIDGE THERAPY, PLLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1135 STRAND AVE STE B
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City | MISSOULA
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State | MT
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Zip | 59801-5678
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Country | US
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Telephone | 406-229-8988
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Fax |
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Provider Business Mailing Address
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Address Line | 101 RIMROCK WAY
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City | MISSOULA
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State | MT
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Zip | 59803-2305
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Country | US
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Telephone | 970-232-4515
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | BART DOUGLAS COOK
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Credential | LCSW, MSW, JD
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Telephone | 970-232-4515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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