Healthcare Provider Details

I. General information

NPI: 1629989629
Provider Name (Legal Business Name): FELIX BARRY
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 N LINCOLN AVE STE 108
LOVELAND CO
80537-5600
US

IV. Provider business mailing address

330 N LINCOLN AVE STE 108
LOVELAND CO
80537-5600
US

V. Phone/Fax

Practice location:
  • Phone: 970-541-2696
  • Fax:
Mailing address:
  • Phone: 970-541-2696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0023342
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: