Healthcare Provider Details

I. General information

NPI: 1205681285
Provider Name (Legal Business Name): FELICIA HARRIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FELICIA ZANDERS

II. Dates (important events)

Enumeration Date: 04/22/2024
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 E NAPOLEON ST
SULPHUR LA
70663-3707
US

IV. Provider business mailing address

4105 KIRKMAN ST
LAKE CHARLES LA
70607-4603
US

V. Phone/Fax

Practice location:
  • Phone: 337-625-6750
  • Fax: 337-475-3105
Mailing address:
  • Phone: 337-475-3100
  • Fax: 337-475-3105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15768
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: