Provider Demographics
NPI:1871677781
Name:FELIU, MIRIAM HELEN (PSYD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:HELEN
Last Name:FELIU
Suffix:
Gender:F
Credentials:PSYD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4309 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2388
Mailing Address - Country:US
Mailing Address - Phone:919-308-7791
Mailing Address - Fax:919-668-2811
Practice Address - Street 1:4309 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2388
Practice Address - Country:US
Practice Address - Phone:919-308-7791
Practice Address - Fax:919-668-2811
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3115103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2822646AMedicare PIN
NC2822646Medicare PIN