Healthcare Provider Details

I. General information

NPI: 1942906565
Provider Name (Legal Business Name): LAURA CIFALDI SWLC, ACLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA NEIL

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 02/06/2023
Certification Date: 02/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N BROADWAY STE 3H
BILLINGS MT
59101-1936
US

IV. Provider business mailing address

201 N BROADWAY STE 3H
BILLINGS MT
59101-1936
US

V. Phone/Fax

Practice location:
  • Phone: 406-272-3775
  • Fax:
Mailing address:
  • Phone: 406-272-3775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number57537
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number57176
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: