MEDICARE: CAITLIN ANNE FEY LPC

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	101Y00000X	Counselor	6401223034	MI
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1700502614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN ANNE FEY LPC

Provider Business Mailing Address
First Line	:	359 LIVERNOIS ST STE 202
Second Line	:
City	:	FERNDALE
State	:	MI
Zip	:	48220-2676
Country	:	US
Telephone Number	:	248-266-0503
Fax Number	:

Provider Business Practice Location Address
First Line	:	359 LIVERNOIS ST STE 202
Second Line	:
City	:	FERNDALE
State	:	MI
Zip	:	48220-2676
Country	:	US
Telephone Number	:	248-266-0503
Fax Number	:

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

Provider Enumeration Date	:	10/13/2022
Last Update Date	:	01/22/2026

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