Provider Demographics
NPI:1558998245
Name:HOUCK, FELISHIA VERA (LCSW)
Entity Type:Individual
Prefix:
First Name:FELISHIA
Middle Name:VERA
Last Name:HOUCK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:LOYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17047-9101
Mailing Address - Country:US
Mailing Address - Phone:717-319-7166
Mailing Address - Fax:
Practice Address - Street 1:7564 BROWNS MILL RD
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17202-9252
Practice Address - Country:US
Practice Address - Phone:173-754-8347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136770104100000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker