Provider Demographics
NPI:1578369351
Name:FELSKI, HENRIQUE
Entity type:Individual
Prefix:DR
First Name:HENRIQUE
Middle Name:
Last Name:FELSKI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10078 TULLER LOOP APT 4-202
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4073
Mailing Address - Country:US
Mailing Address - Phone:863-350-5304
Mailing Address - Fax:
Practice Address - Street 1:10078 TULLER LOOP APT 4-202
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-4073
Practice Address - Country:US
Practice Address - Phone:863-350-5304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health