| Authentic Foundations Llc | |
|
2315 Mcdonald Ave Ste 101 Missoula MT 59801-7343 | |
| (406) 239-4647 | |
| Not Available |
| Full Name | Authentic Foundations Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2315 Mcdonald Ave Ste 101, Missoula, Montana |
| Authorized Official Name and Position | Jama Mauldin (OWNER/ THERAPIST) |
| Authorized Official Contact | 4062394647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Foundations Llc 2315 Mcdonald Ave Ste 101 Missoula MT 59801-7343 Ph: (406) 239-4647 | Authentic Foundations Llc 2315 Mcdonald Ave Ste 101 Missoula MT 59801-7343 Ph: (406) 239-4647 |
| NPI Number | 1396610424 |
|---|---|
| Provider Enumeration Date | 10/08/2025 |
| Last Update Date | 10/08/2025 |
| Certification Date | 10/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396610424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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