Healthcare Provider Details

I. General information

NPI: 1275199366
Provider Name (Legal Business Name): FELICIA ANDERSON LCPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2019
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 LAMPMAN DR
BILLINGS MT
59102-6471
US

IV. Provider business mailing address

3333 2ND AVE N STE 160
BILLINGS MT
59101-2060
US

V. Phone/Fax

Practice location:
  • Phone: 406-545-4228
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberBBH-LAC-LIC-42941
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCPC-LIC-78945
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: