MEDICARE: MS. MINDY KALEE LMHC, LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH60174985	WA

General Provider Information

NPI Number	:	1063782191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MINDY KALEE LMHC, LCPC

Provider Business Mailing Address
First Line	:	144 2ND ST E STE 202
Second Line	:
City	:	WHITEFISH
State	:	MT
Zip	:	59937-2402
Country	:	US
Telephone Number	:	206-861-2609
Fax Number	:

Provider Business Practice Location Address
First Line	:	144 2ND ST E STE 202
Second Line	:
City	:	WHITEFISH
State	:	MT
Zip	:	59937-2402
Country	:	US
Telephone Number	:	206-861-2609
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2012
Last Update Date	:	07/26/2021

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