Phelps, Felicia L

Phelps, Felicia L is an individual health care provider with primary practice located at 30 Northwest Ave , Tallmadge OH 44278-1808. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Phelps, Felicia L can be contacted via phone (330) 633-4187.

Contact Information

Primary practice address
30 Northwest Ave Tallmadge OH 44278-1808
Phone: (330) 633-4187
Fax: (330) 633-4294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X I 0008220 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.0008220-SUPV Ohio

Profile Details

NPI number 1962624163
LBN Legal business name Phelps, Felicia L
Credentials MSSA LISW
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Feb 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962624163 NPPES
Ohio Other I.0008220-SUPV CSWMFT BOARD

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