Healthcare Provider Details

I. General information

NPI: 1891309217
Provider Name (Legal Business Name): FELICIA CAFLIN LCPC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2020
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 SANTA FE CT FL 1
MISSOULA MT
59808-1730
US

IV. Provider business mailing address

PO BOX 311
WHEAT RIDGE CO
80034-0311
US

V. Phone/Fax

Practice location:
  • Phone: 406-219-7472
  • Fax: 406-634-3166
Mailing address:
  • Phone: 406-219-7472
  • Fax: 406-634-3166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number43997
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: