Provider Demographics
NPI:1225426646
Name:GARRETT, FELICIA A (MA, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:A
Last Name:GARRETT
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 TYRE NECK RD STE A
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-3319
Mailing Address - Country:US
Mailing Address - Phone:757-335-4044
Mailing Address - Fax:
Practice Address - Street 1:3300 TYRE NECK RD STE A
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-3319
Practice Address - Country:US
Practice Address - Phone:757-335-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006060101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional