Provider Demographics
NPI:1487167680
Name:POPE, FELICIA LUZ (LPC-IT)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:LUZ
Last Name:POPE
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 FOUNTAINS BLVD NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52411-6610
Mailing Address - Country:US
Mailing Address - Phone:319-356-6352
Mailing Address - Fax:
Practice Address - Street 1:673 WESTBURY DR STE 201
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2732
Practice Address - Country:US
Practice Address - Phone:319-463-3308
Practice Address - Fax:319-358-2367
Is Sole Proprietor?:No
Enumeration Date:2017-11-09
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3582-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional