Provider Demographics
NPI:1922668268
Name:KELSEY, FELICIA ANN (LPC)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:ANN
Last Name:KELSEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:ANN
Other - Last Name:EPPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5311 MOODY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH DINWIDDIE
Mailing Address - State:VA
Mailing Address - Zip Code:23803-8706
Mailing Address - Country:US
Mailing Address - Phone:804-868-8368
Mailing Address - Fax:
Practice Address - Street 1:5311 MOODY DR
Practice Address - Street 2:
Practice Address - City:NORTH DINWIDDIE
Practice Address - State:VA
Practice Address - Zip Code:23803-8706
Practice Address - Country:US
Practice Address - Phone:804-868-8368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008426101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional