Provider Demographics
NPI:1740636273
Name:FISHER, FELICIA DARNELL
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:DARNELL
Last Name:FISHER
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 1:13140 COIT RD STE 323
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5769
Mailing Address - Country:US
Mailing Address - Phone:214-838-5747
Mailing Address - Fax:
Practice Address - Street 1:13140 COIT RD STE 323
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5769
Practice Address - Country:US
Practice Address - Phone:214-838-5747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37941103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling