Provider Demographics
NPI:1457420879
Name:FELICIANA CONSULTANTS, INC.
Entity Type:Organization
Organization Name:FELICIANA CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHP
Authorized Official - Prefix:MS
Authorized Official - First Name:SYBIL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP
Authorized Official - Phone:225-634-5658
Mailing Address - Street 1:3613 COLLEGE STREET
Mailing Address - Street 2:P.O. BOX 441
Mailing Address - City:JACKSON
Mailing Address - State:LA
Mailing Address - Zip Code:70748
Mailing Address - Country:US
Mailing Address - Phone:225-634-5658
Mailing Address - Fax:225-634-2404
Practice Address - Street 1:3613 COLLEGE STREET
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:LA
Practice Address - Zip Code:70748
Practice Address - Country:US
Practice Address - Phone:225-634-5658
Practice Address - Fax:225-634-2404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1208251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1653152Medicaid