Provider Demographics
NPI:1922583152
Name:UMEANA, FELIX
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:UMEANA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 WINTERCREST ST
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-1721
Mailing Address - Country:US
Mailing Address - Phone:517-977-0377
Mailing Address - Fax:
Practice Address - Street 1:120 N WASHINGTON SQ STE 338
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48933-1617
Practice Address - Country:US
Practice Address - Phone:517-224-1403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician