Provider Demographics
NPI:1831320530
Name:FELIX, COLLEEN (MS, LCPC)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:
Last Name:FELIX
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-5721
Mailing Address - Country:US
Mailing Address - Phone:301-745-6687
Mailing Address - Fax:301-739-0041
Practice Address - Street 1:309 E PATRICK ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5614
Practice Address - Country:US
Practice Address - Phone:301-631-1304
Practice Address - Fax:301-631-1384
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional