MEDICARE: MS. FELISHIA MICHELLE MCPHERSON LPC

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	101YM0800X	Mental Health Counselor	A8910	NC
2	101YP2500X	Professional Counselor	9810	NC

General Provider Information

NPI Number	:	1922349588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FELISHIA MICHELLE MCPHERSON LPC

Provider Business Mailing Address
First Line	:	705 CUMBERLAND ST
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-7020
Country	:	US
Telephone Number	:	910-483-5986
Fax Number	:	336-395-8501

Provider Business Practice Location Address
First Line	:	705 CUMBERLAND ST
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-7020
Country	:	US
Telephone Number	:	910-483-5986
Fax Number	:	910-483-5940

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

Provider Enumeration Date	:	03/07/2013
Last Update Date	:	01/18/2019

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