Organization Active NPI

Wellness Recovery Group PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Missoula, MT
National Provider Identifier
1760201982
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
WELLNESS RECOVERY GROUP PLLC
Practice address
3425 SGT Sanders St
Missoula, MT 59804-7224
Phone
(406) 540-2846
NPI assigned
Oct 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Andrea Joan Foran, LMFT, LCPC, LACNPI 1649720319
Title
Executive Director
Phone
(406) 540-2846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3425 SGT Sanders St
Missoula, MT 59804-7224

Mailing address

PO Box 1737
Missoula, MT 59806-1737
Phone (406) 540-2846

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1760201982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1737",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598061737",
            "telephone_number": "406-540-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 SGT SANDERS ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047224",
            "telephone_number": "406-540-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS RECOVERY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "FORAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-540-2846",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT, LCPC, LAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.