Provider Demographics
NPI:1770732174
Name:BURK, FELICIA KAYE (MED)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:KAYE
Last Name:BURK
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 SILVER SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-5060
Mailing Address - Country:US
Mailing Address - Phone:615-896-0505
Mailing Address - Fax:615-217-0700
Practice Address - Street 1:500 WILSON PIKE CIR
Practice Address - Street 2:SUITE 320
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5252
Practice Address - Country:US
Practice Address - Phone:615-376-0034
Practice Address - Fax:615-376-3488
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional