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General NPI Number Information
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NPI Number | 1851116396
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Entity Type | Organization
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Legal Business Name | KATIE DEFELICE LLC
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 99 MARCUS ST 3RD FLOOR, SUITE 1E
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City | HAMILTON
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State | MT
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Zip | 59840-3360
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Country | US
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Telephone | 406-602-5606
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BLOOD LN
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City | HAMILTON
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State | MT
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Zip | 59840-3360
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Country | US
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Telephone | 406-602-5606
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | KATIE L DEFELICE
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Credential | LCSW
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Telephone | 406-602-5606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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