Provider Demographics
NPI:1689966186
Name:ANTWI, FELICIA LA NETTE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:LA NETTE
Last Name:ANTWI
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:PO BOX 142
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77342-0142
Mailing Address - Country:US
Mailing Address - Phone:936-293-6721
Mailing Address - Fax:
Practice Address - Street 1:1230 10TH ST STE F
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77320-3915
Practice Address - Country:US
Practice Address - Phone:936-293-6721
Practice Address - Fax:936-294-9098
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59509101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional