| Caldera Therapy, Pllc | |
|
5598 145th Ave Nw Williston ND 58801-9033 | |
| (701) 570-4027 | |
| Not Available |
| Full Name | Caldera Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5598 145th Ave Nw, Williston, North Dakota |
| Authorized Official Name and Position | Charlie Ray Hystad-moe (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 7015704027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldera Therapy, Pllc 5598 145th Ave Nw Williston ND 58801-9033 Ph: (701) 570-4027 | Caldera Therapy, Pllc 5598 145th Ave Nw Williston ND 58801-9033 Ph: (701) 570-4027 |
| NPI Number | 1457218216 |
|---|---|
| Provider Enumeration Date | 01/05/2026 |
| Last Update Date | 01/05/2026 |
| Certification Date | 01/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457218216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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