Provider Demographics
NPI:1457552655
Name:FELIX, CHERYL RENEE (LIMHP)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:RENEE
Last Name:FELIX
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:MRS
Other - First Name:CHERYL
Other - Middle Name:RENEE
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6765 SPAULDING ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2542
Mailing Address - Country:US
Mailing Address - Phone:402-707-0407
Mailing Address - Fax:
Practice Address - Street 1:5425 N 103RD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-1280
Practice Address - Country:US
Practice Address - Phone:402-502-9788
Practice Address - Fax:402-502-3450
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1251101YM0800X
NE2730101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026645800Medicaid
NE10025203700Medicaid