Healthcare Provider Details

I. General information

NPI: 1750932430
Provider Name (Legal Business Name): AMANDA FELIX DNP, PMHNP-BC, AGNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2019
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 SANDY SPRING RD, SUITE 300 #1020
LAUREL MD
20707
US

IV. Provider business mailing address

8101 SANDY SPRING RD, SUITE 300 #1020
LAUREL MD
20707
US

V. Phone/Fax

Practice location:
  • Phone: 240-484-4226
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1048146
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR209751
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024184792
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: