Provider Demographics
NPI:1134692536
Name:LI, FELICIA HUIYAN (LCSW)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:HUIYAN
Last Name:LI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61802-2830
Mailing Address - Country:US
Mailing Address - Phone:217-912-5249
Mailing Address - Fax:
Practice Address - Street 1:1210 E MAIN ST
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61802-2830
Practice Address - Country:US
Practice Address - Phone:217-912-5249
Practice Address - Fax:217-703-8337
Is Sole Proprietor?:No
Enumeration Date:2019-01-08
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0158531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical