Provider Demographics
NPI:1548811086
Name:CAMERON, FELICIA (LCSW)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:CAMERON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 HIGHWAY 51 STE C
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-3404
Mailing Address - Country:US
Mailing Address - Phone:601-317-5997
Mailing Address - Fax:888-592-0597
Practice Address - Street 1:321 HIGHWAY 51 STE C
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-3404
Practice Address - Country:US
Practice Address - Phone:601-317-5997
Practice Address - Fax:888-592-0597
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-25
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC55081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical