Provider Demographics
NPI:1235842345
Name:PARHAM, FELICIA MICHELLE (LCPC)
Entity Type:Individual
Prefix:MISS
First Name:FELICIA
Middle Name:MICHELLE
Last Name:PARHAM
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526 N HORSMAN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61101-4239
Mailing Address - Country:US
Mailing Address - Phone:815-222-8291
Mailing Address - Fax:
Practice Address - Street 1:1526 N HORSMAN ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61101-4239
Practice Address - Country:US
Practice Address - Phone:815-222-8291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180014782101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional