Provider Demographics
NPI:1477845345
Name:FELIX, GUELINE (LCSW)
Entity Type:Individual
Prefix:
First Name:GUELINE
Middle Name:
Last Name:FELIX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GUELINE
Other - Middle Name:FELIX
Other - Last Name:GBOBO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1370 ARIANA ST
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-1817
Mailing Address - Country:US
Mailing Address - Phone:407-716-8518
Mailing Address - Fax:
Practice Address - Street 1:1370 ARIANA ST
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-1817
Practice Address - Country:US
Practice Address - Phone:407-284-0841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8939104100000X
222Q00000X
FLSW 117381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist