Provider Demographics
NPI:1205677671
Name:FELIU, YENIS
Entity type:Individual
Prefix:
First Name:YENIS
Middle Name:
Last Name:FELIU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 BRUNSWICK DR
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-4605
Mailing Address - Country:US
Mailing Address - Phone:954-560-4067
Mailing Address - Fax:
Practice Address - Street 1:135 N 6TH ST FL 1
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-4247
Practice Address - Country:US
Practice Address - Phone:954-560-4067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-01
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker