Provider Demographics
NPI:1174403869
Name:ADDO, AMARI FELECIA ADDOLEY (QMHP)
Entity type:Individual
Prefix:
First Name:AMARI FELECIA
Middle Name:ADDOLEY
Last Name:ADDO
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10221 DOYLE BLVD
Mailing Address - Street 2:
Mailing Address - City:MC KENNEY
Mailing Address - State:VA
Mailing Address - Zip Code:23872-2700
Mailing Address - Country:US
Mailing Address - Phone:804-603-3241
Mailing Address - Fax:
Practice Address - Street 1:10221 DOYLE BLVD
Practice Address - Street 2:
Practice Address - City:MC KENNEY
Practice Address - State:VA
Practice Address - Zip Code:23872-2700
Practice Address - Country:US
Practice Address - Phone:804-603-3241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0734012991225XM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health