=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205681285
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FELICIA HARRIS LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2024
-----------------------------------------------------
Last Update Date | 12/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2651 E NAPOLEON ST
-----------------------------------------------------
City | SULPHUR
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70663-3707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-625-6750
-----------------------------------------------------
Fax | 337-475-3105
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4105 KIRKMAN ST
-----------------------------------------------------
City | LAKE CHARLES
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70607-4603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-475-3100
-----------------------------------------------------
Fax | 337-475-3105
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 15768
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------