MEDICARE: FRONTLINE COUNSELING & WELLNESS, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1558220475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONTLINE COUNSELING & WELLNESS, LLC.

Provider Business Mailing Address
First Line	:	PO BOX 81168
Second Line	:
City	:	FAIRBANKS
State	:	AK
Zip	:	99708-1168
Country	:	US
Telephone Number	:	425-484-2603
Fax Number	:	425-476-3830

Provider Business Practice Location Address
First Line	:	1293 RANGE VIEW RD
Second Line	:
City	:	NORTH POLE
State	:	AK
Zip	:	99705-5353
Country	:	US
Telephone Number	:	425-484-2603
Fax Number	:	425-476-3830

Authorized Official
Title or Position	:	CLINICIAN/OWNER
Name	:	MRS. KAILEY ELAINE MCNEIL
Credential	:	LCSW
Telephone Number	:	425-484-2603

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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