Healthcare Provider Details

I. General information

NPI: 1184265118
Provider Name (Legal Business Name): CAITLYNN VOGL LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAITLYNN RATLIFF LMHCA

II. Dates (important events)

Enumeration Date: 10/01/2019
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 OAK RD
NORRIS TN
37828-3051
US

IV. Provider business mailing address

100 N HOWARD ST STE 6126
SPOKANE WA
99201-0508
US

V. Phone/Fax

Practice location:
  • Phone: 509-237-7778
  • Fax:
Mailing address:
  • Phone: 509-237-7778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number61300616
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: