Provider Demographics
NPI:1629384961
Name:WELLNESS POSSEBILITIES, INC
Entity Type:Organization
Organization Name:WELLNESS POSSEBILITIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:HUBBS
Authorized Official - Last Name:HJELMSTAD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-672-2693
Mailing Address - Street 1:8650 LONGMEADOW DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-1802
Mailing Address - Country:US
Mailing Address - Phone:406-672-2693
Mailing Address - Fax:186-625-6465
Practice Address - Street 1:8650 LONGMEADOW DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-1802
Practice Address - Country:US
Practice Address - Phone:406-672-2693
Practice Address - Fax:186-625-6465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT957LCSW251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1629382734Medicaid