Provider Demographics
NPI:1851097067
Name:FEELY, ERIKA THERESE (AMFT, APCC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:THERESE
Last Name:FEELY
Suffix:
Gender:F
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 W ANAPAMU ST # 143
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-3107
Mailing Address - Country:US
Mailing Address - Phone:303-585-0420
Mailing Address - Fax:
Practice Address - Street 1:1187 COAST VILLAGE ROAD STE 1360
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93108
Practice Address - Country:US
Practice Address - Phone:303-585-0420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT136952106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist