Provider Demographics
NPI:1639863061
Name:FELICITY'S CORNER COUNSELING, LLC
Entity Type:Organization
Organization Name:FELICITY'S CORNER COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-553-2028
Mailing Address - Street 1:904 W TOMAHAWK TRL
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-3628
Mailing Address - Country:US
Mailing Address - Phone:256-553-2028
Mailing Address - Fax:
Practice Address - Street 1:904 W TOMAHAWK TRL
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-3628
Practice Address - Country:US
Practice Address - Phone:256-553-2028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty