Provider Demographics
NPI:1598956344
Name:FELIX, KENY (LPC)
Entity Type:Individual
Prefix:DR
First Name:KENY
Middle Name:
Last Name:FELIX
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 MOUNT PARAN RD NW
Mailing Address - Street 2:MCCARTY BUILDING
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2921
Mailing Address - Country:US
Mailing Address - Phone:404-835-6136
Mailing Address - Fax:
Practice Address - Street 1:2055 MOUNT PARAN RD NW
Practice Address - Street 2:MCCARTY BUILDING
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-2921
Practice Address - Country:US
Practice Address - Phone:404-835-6136
Practice Address - Fax:404-239-9460
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8417101YM0800X
GALPC005550101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health