FELISE DE NOVO, PC


Address: 2400 Mccullough Ave., #12851, San Antonio, TX 78212
Phone: 2104193923

FELISE DE NOVO, PC (NPI# 1669886032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669886032
Entity Type Organization
Organization Name FELISE DE NOVO, PC
Other Organization Name FAMILIES DE NOVO
Practice Address 2400 Mccullough Ave.
#12851
San Antonio
TX 78212
Mailing Address P. O. Box 12851
San Antonio
TX 78212
Practice Telephone 2104193923
Practice Fax Number 2103200958
Mailing Telephone 2104193923
Mailing Fax Number 2103200958
Enumeration Date 2014-06-13
Last Update Date 2014-06-13
Authorized Official Name FELISE DE NOVO (PRESIDENT)
Authorized Official Telephone 2104193923
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 16133 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 029050402 05
TX NPI 1164638011 01
TX NPI 1386723500 01

Other Provider/Organization Names

Other Name Type Code
Families De Novo Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164638011 Felise De Novo, PC Counselor 2400 Mccullough Ave, #12851, San Antonio, TX 78212-8001 2007-05-15

Office Location

Street Address 2400 MCCULLOUGH AVE.
#12851
City SAN ANTONIO
State TX
Zip Code 78212

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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Competitor

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City SAN ANTONIO
Zip Code 78212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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