Provider Demographics
NPI:1790232270
Name:FELTMAN, JAMES ERIC (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ERIC
Last Name:FELTMAN
Suffix:
Gender:M
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 AUSTIN VILLAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-3091
Mailing Address - Country:US
Mailing Address - Phone:423-306-5250
Mailing Address - Fax:
Practice Address - Street 1:415 E UNAKA AVE
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-4030
Practice Address - Country:US
Practice Address - Phone:423-218-2048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12484101YM0800X
TN4399101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health