Provider Demographics
NPI:1124356639
Name:WINTERS, FELICA RENA (MED, PHD)
Entity Type:Individual
Prefix:DR
First Name:FELICA
Middle Name:RENA
Last Name:WINTERS
Suffix:
Gender:F
Credentials:MED, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11881 GULF POINTE DR
Mailing Address - Street 2:L31
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2741
Mailing Address - Country:US
Mailing Address - Phone:713-444-5488
Mailing Address - Fax:
Practice Address - Street 1:2715 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9217
Practice Address - Country:US
Practice Address - Phone:713-654-7770
Practice Address - Fax:713-654-7703
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor