Provider Demographics
NPI:1689239816
Name:FELDER, ROBERT J JR (LPCS-C)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:FELDER
Suffix:JR
Gender:M
Credentials:LPCS-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 ALPINE CIR STE 600
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-6526
Mailing Address - Country:US
Mailing Address - Phone:803-386-9323
Mailing Address - Fax:803-753-9701
Practice Address - Street 1:117 ALPINE CIR STE 600
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6526
Practice Address - Country:US
Practice Address - Phone:803-386-9323
Practice Address - Fax:803-753-9701
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-02
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7533101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health