MEDICARE: BEVERLY FELIX

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	320800000X	Mental Illness Community Based Residential Treatment Facility	NV20253340340	NV

General Provider Information

NPI Number	:	1912334012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY FELIX

Provider Business Mailing Address
First Line	:	8216 TIVOLI COVE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7446
Country	:	US
Telephone Number	:	702-406-8923
Fax Number	:	702-541-9507

Provider Business Practice Location Address
First Line	:	8216 TIVOLI COVE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7446
Country	:	US
Telephone Number	:	702-541-9507
Fax Number	:	702-541-9507

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

Provider Enumeration Date	:	10/03/2013
Last Update Date	:	09/10/2025

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Directions to “ BEVERLY FELIX ” Practice Location

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