Provider Demographics
NPI:1366904526
Name:CHAVEZ, FELIX JR (LMHC)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:CHAVEZ
Suffix:JR
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3023 BROADMOOR DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-7528
Mailing Address - Country:US
Mailing Address - Phone:575-649-4000
Mailing Address - Fax:
Practice Address - Street 1:2434 WESTWIND RD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007-5588
Practice Address - Country:US
Practice Address - Phone:575-888-7377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health