MEDICARE: AMANDA FELIX CIT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	CIT-5763	LA

General Provider Information

NPI Number	:	1174358758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA FELIX CIT

Provider Business Mailing Address
First Line	:	3303 TULANE AVE BLDG 1
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-7186
Country	:	US
Telephone Number	:	504-377-6628
Fax Number	:

Provider Business Practice Location Address
First Line	:	3303 TULANE AVE BLDG 1
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-7186
Country	:	US
Telephone Number	:	504-377-6628
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2024
Last Update Date	:	09/04/2024

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