Provider Demographics
NPI:1801142708
Name:CATCHING, FELICIA (CNS)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:CATCHING
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 B W RANCH RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MS
Mailing Address - Zip Code:39073-8443
Mailing Address - Country:US
Mailing Address - Phone:601-456-3047
Mailing Address - Fax:601-883-7001
Practice Address - Street 1:1905 MISSION 66 # B
Practice Address - Street 2:SUITE 4
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39180-3751
Practice Address - Country:US
Practice Address - Phone:601-456-3047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-28
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7777777364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult