Provider Demographics
NPI:1205681285
Name:HARRIS, FELICIA (LMSW)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:JENNINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70546-5857
Mailing Address - Country:US
Mailing Address - Phone:337-246-7325
Mailing Address - Fax:
Practice Address - Street 1:437 N MARKET ST
Practice Address - Street 2:
Practice Address - City:JENNINGS
Practice Address - State:LA
Practice Address - Zip Code:70546-5857
Practice Address - Country:US
Practice Address - Phone:337-246-7325
Practice Address - Fax:337-246-7328
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA157681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical