Provider Demographics
NPI:1265294078
Name:INMAN, FELICIA ANN (ALC)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:ANN
Last Name:INMAN
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 HOLMES AVE NE STE E
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4162
Mailing Address - Country:US
Mailing Address - Phone:256-724-8468
Mailing Address - Fax:
Practice Address - Street 1:401 HOLMES AVE NE STE E
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4162
Practice Address - Country:US
Practice Address - Phone:256-724-8468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04757101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health