Mica Freeland Wolcott, LCPC
Individual provider Active NPI Mental Health Counselor · Clinton, MT
NPI 1336740679 · NPPES record last updated Mar 20, 2024
Key facts
- NPI
- 1336740679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 44386 (MT)
- Practice address
- 19770 Swartz Creek Rd
Clinton, MT 59825 - Phone
- (406) 540-4120
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9074 | ID | MD | Mental Health Counselor |
| 44386 | MT | MD | Mental Health Counselor |
| BBH-LCPC-LIC-44386 | MT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guided Healing Trails LLC | Current |
Accepting new patients |
Locations
500 N Higgins Ave
Ste 107
Missoula, MT 59802
Phone (406) 285-1345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | BBH-LCPC-LIC-44386 | MT | |
| Mental Health Counselor | 101YM0800X | 9074 | ID | |
| Mental Health Counselor | 101YM0800X | 44386 | MT | Yes |
Addresses
Primary practice location
19770 Swartz Creek Rd
Clinton, MT 59825
Mailing address
PO Box 306
Clinton, MT 59825-0306
Other practice location 1
19770 Swartz Creek Rd
Clinton, MT 59825-9036
Phone (208) 290-4079
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://guidedhealingtrails.com/ | Direct |
Other providers in Clinton, MT
All providers in Clinton, MT · Mental Health Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.