Provider Demographics
NPI:1467216002
Name:ROUSE-HAYES, FELICIA R (LAMFT)
Entity Type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:R
Last Name:ROUSE-HAYES
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CENTER ST APT 411
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-4563
Mailing Address - Country:US
Mailing Address - Phone:973-207-5192
Mailing Address - Fax:
Practice Address - Street 1:2 CENTER ST APT 411
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-4563
Practice Address - Country:US
Practice Address - Phone:973-207-5192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FA00041600106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist