Provider Demographics
NPI:1154207694
Name:ABBEY, FEISAL MOHAMED
Entity type:Individual
Prefix:
First Name:FEISAL
Middle Name:MOHAMED
Last Name:ABBEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 SOMERVILLE ST # E1
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-4531
Mailing Address - Country:US
Mailing Address - Phone:603-814-0654
Mailing Address - Fax:
Practice Address - Street 1:591 SOMERVILLE ST # E1
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-4531
Practice Address - Country:US
Practice Address - Phone:603-814-0654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNHL16208197104100000X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker