Doctor Name: | MRS. KIA FELICIA EVERETT |
NPI Number: | 1063640381 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHS |
License Number: | |
Business Practice Address: | 232 Le Carra Dr Lansdowne, PA - 190501718 |
Business Phone Number: | 6106220027 |
Business Fax Number: | 6106222513 |
Mailing Address: | 232 Le Carra Drive, LANSDOWNE |
State: | PA |
Postal Code: | 19050 |
Phone Number: | 6106220027 |
Fax Number: | 6106222513 |
NPI Enumeration Date: | 06/25/2009 |
NPI Last Update Date: | 06/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |