Provider Demographics
NPI:1811128606
Name:FELIX, ROBIN LEE (MFT)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LEE
Last Name:FELIX
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11215
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-0215
Mailing Address - Country:US
Mailing Address - Phone:562-708-2711
Mailing Address - Fax:213-637-5001
Practice Address - Street 1:1940 W. ORANGEWOOD AVENUE
Practice Address - Street 2:SUITE 110-9
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92826-5024
Practice Address - Country:US
Practice Address - Phone:562-708-2711
Practice Address - Fax:213-637-5001
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47860106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist