Healthcare Provider Details

I. General information

NPI: 1750027447
Provider Name (Legal Business Name): CHRISTOPHER GEORGE FELIX LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 DANN FARM RD
POUND RIDGE NY
10576-2150
US

IV. Provider business mailing address

117 DANN FARM RD
POUND RIDGE NY
10576-2150
US

V. Phone/Fax

Practice location:
  • Phone: 914-886-2094
  • Fax:
Mailing address:
  • Phone: 914-886-2094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14417
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number017548
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: