Provider Demographics
NPI:1942906565
Name:CIFALDI, LAURA (SWLC, ACLC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:CIFALDI
Suffix:
Gender:F
Credentials:SWLC, ACLC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:NEIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 N BROADWAY STE 3H
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1936
Mailing Address - Country:US
Mailing Address - Phone:406-272-3775
Mailing Address - Fax:
Practice Address - Street 1:201 N BROADWAY STE 3H
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1936
Practice Address - Country:US
Practice Address - Phone:406-272-3775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT575371041C0700X
MT57176101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)