Provider Demographics
NPI:1194407478
Name:MARTINEZ, FELIX (LMAC-T)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:LMAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 SW 17TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2810
Mailing Address - Country:US
Mailing Address - Phone:785-266-0202
Mailing Address - Fax:
Practice Address - Street 1:1221 SW 17TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-2810
Practice Address - Country:US
Practice Address - Phone:785-266-0202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01148101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)