Healthcare Provider Details

I. General information

NPI: 1598284333
Provider Name (Legal Business Name): FELICIA DOWNS LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 03/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 ROYAL AVE STE 5
MONROE LA
71201-5721
US

IV. Provider business mailing address

PO BOX 9021
MONROE LA
71211-9021
US

V. Phone/Fax

Practice location:
  • Phone: 318-267-9191
  • Fax: 318-816-5309
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: FELICIA DOWNS
Title or Position: MEMBER
Credential: LCSW
Phone: 318-267-9191