Provider Demographics
NPI:1063043230
Name:FELDER, CAROLE LEANNE (MFTC)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:LEANNE
Last Name:FELDER
Suffix:
Gender:F
Credentials:MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6845 OAK VINE CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-4729
Mailing Address - Country:US
Mailing Address - Phone:719-232-5922
Mailing Address - Fax:
Practice Address - Street 1:411 LAKEWOOD CIR STE C201
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-2668
Practice Address - Country:US
Practice Address - Phone:719-302-3175
Practice Address - Fax:709-696-6032
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health