Provider Demographics
NPI:1003703745
Name:HARRIS, FELICIA DORENE CLAIRE (LAC)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:DORENE CLAIRE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10350 E DESERT COVE AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6312
Mailing Address - Country:US
Mailing Address - Phone:480-369-5006
Mailing Address - Fax:
Practice Address - Street 1:3377 S PRICE RD STE 2042B
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-3591
Practice Address - Country:US
Practice Address - Phone:480-369-5006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-23172101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional