Provider Demographics
NPI:1164803474
Name:MINKS, FELISIA
Entity Type:Individual
Prefix:
First Name:FELISIA
Middle Name:
Last Name:MINKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARRINE
Other - Middle Name:
Other - Last Name:MINKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CFI
Mailing Address - Street 1:9385 WINGED FOOT RD
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-4003
Mailing Address - Country:US
Mailing Address - Phone:719-323-3010
Mailing Address - Fax:
Practice Address - Street 1:9385 WINGED FOOT RD
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-4003
Practice Address - Country:US
Practice Address - Phone:719-323-3010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0011757101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor