Provider Demographics
NPI:1497251938
Name:SCHWARTZ, FELICE JORDANA (LPC)
Entity Type:Individual
Prefix:
First Name:FELICE
Middle Name:JORDANA
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 WALNUT ST STE 865
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-4712
Mailing Address - Country:US
Mailing Address - Phone:484-557-2367
Mailing Address - Fax:
Practice Address - Street 1:1845 WALNUT ST STE 865
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-4712
Practice Address - Country:US
Practice Address - Phone:484-557-2367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009743101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional