Provider Demographics
NPI:1528846276
Name:MOREAU, FELIX YVES (LMFT)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:YVES
Last Name:MOREAU
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:YVES
Other - Middle Name:FELIX
Other - Last Name:MOREAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 194
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94604-0194
Mailing Address - Country:US
Mailing Address - Phone:415-935-3589
Mailing Address - Fax:
Practice Address - Street 1:23 ALTARINDA RD
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2600
Practice Address - Country:US
Practice Address - Phone:415-935-3589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130407106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist