Provider Demographics
NPI:1407474349
Name:FELIX, NANCY LOUISE (LMFT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LOUISE
Last Name:FELIX
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16001 CHASE RD UNIT 50
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-5083
Mailing Address - Country:US
Mailing Address - Phone:805-302-3542
Mailing Address - Fax:
Practice Address - Street 1:16001 CHASE RD UNIT 50
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-5083
Practice Address - Country:US
Practice Address - Phone:805-302-3542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA119700106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist