Provider Demographics
NPI:1588543383
Name:FELIX, LUIS A (PPS)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:A
Last Name:FELIX
Suffix:
Gender:M
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 W BARDSLEY AVE
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-5206
Mailing Address - Country:US
Mailing Address - Phone:661-543-9595
Mailing Address - Fax:
Practice Address - Street 1:418 W 8TH ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4536
Practice Address - Country:US
Practice Address - Phone:559-583-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250167049101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool