Provider Demographics
NPI:1013749282
Name:FELDMANN, DENISE (MH)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:FELDMANN
Suffix:
Gender:F
Credentials:MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19025 ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2302
Mailing Address - Country:US
Mailing Address - Phone:305-607-2501
Mailing Address - Fax:
Practice Address - Street 1:19025 ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-2302
Practice Address - Country:US
Practice Address - Phone:305-607-2501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH24016101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health