Healthcare Provider Details

I. General information

NPI: 1619783875
Provider Name (Legal Business Name): FELTS TRAINING INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 STONEGATE TRL
PERRY GA
31069-4977
US

IV. Provider business mailing address

PO BOX 1055
PERRY GA
31069-1055
US

V. Phone/Fax

Practice location:
  • Phone: 404-993-2844
  • Fax:
Mailing address:
  • Phone: 800-714-0435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: YOLANDA ARTIS ROGERS-FELTS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 404-993-2844