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SPIRIT LAKE TRIBE NPI 1588865794


NPI Information

NPI: 1588865794
Provider Name: SPIRIT LAKE TRIBE

Doing Business As: SLT RECOVERY AND WELLNESS

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
7527 EPHRAIM HILL ROAD
FORT TOTTEN, ND
ZIP 58335
Phone: (701) 766-4285
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SPIRIT LAKE TRIBE is an addiction (substance use disorder) counselor in Fort Totten, ND. SPIRIT LAKE TRIBE NPI is 1588865794. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Slt Recovery And Wellness.

The provider's business location address is:

7527 EPHRAIM HILL ROAD
FORT TOTTEN, ND
ZIP 58335-088
Phone: (701) 766-4285
Fax: (701) 766-1229

The provider's authorized official is Linda S Peltier .
The authorized official title is 3rd Party Billing Manager and has the following contact phone number (701) 766-1667.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 9/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical814NORTH DAKOTANo
2101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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