Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wholly Authentic Life LLC

Organization Clinic/Center · NPI 1043930993

Wholly Authentic Life LLC is a Clinic/Center in Fairfield, Montana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

201 1st Ave N
Fairfield, MT 59436-9245
Phone: (406) 799-2711
Fax: (406) 467-3407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1043930993
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammie Smith — Mbr · (406) 799-2711
NPI enumeratedAugust 31, 2022
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023
Mailing addressPo Box 907, Fairfield, MT 59436-0907