Provider Demographics
NPI:1346307907
Name:ABOUD, FELICE FUQUA (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:FELICE
Middle Name:FUQUA
Last Name:ABOUD
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14679 MIDWAY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3196
Mailing Address - Country:US
Mailing Address - Phone:972-234-6634
Mailing Address - Fax:972-234-6648
Practice Address - Street 1:14679 MIDWAY RD STE 200
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3196
Practice Address - Country:US
Practice Address - Phone:972-234-6634
Practice Address - Fax:972-234-6648
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11389101YM0800X
TX3924106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist