Provider Demographics
NPI:1235647157
Name:BESSMAN, FELICIA DAVIES (NP, LPC)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:DAVIES
Last Name:BESSMAN
Suffix:
Gender:F
Credentials:NP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 PORT ROYALE WAY
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-3894
Mailing Address - Country:US
Mailing Address - Phone:817-228-6127
Mailing Address - Fax:
Practice Address - Street 1:1714 HOOD LN
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-2744
Practice Address - Country:US
Practice Address - Phone:178-233-4245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-12
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70625101YP2500X
TXAP135858363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1235647157OtherBOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS