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General NPI Number Information
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NPI Number | 1629384961
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Entity Type | Organization
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Legal Business Name | WELLNESS POSSEBILITIES, INC
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 12/28/2010
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Provider Practice Location Address
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Address Line | 8650 LONGMEADOW DR
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City | BILLINGS
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State | MT
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Zip | 59106-1802
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Country | US
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Telephone | 406-672-2693
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Fax | 186-625-6465
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Provider Business Mailing Address
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Address Line | 8650 LONGMEADOW DR
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City | BILLINGS
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State | MT
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Zip | 59106-1802
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Country | US
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Telephone | 406-672-2693
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Fax | 186-625-6465
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | MISS LISA HUBBS HJELMSTAD
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Credential | LCSW
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Telephone | 406-672-2693
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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 | 957LCSW
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License Number State | MT
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