Provider Demographics
NPI:1962971374
Name:LIMA, FELICIA
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:LIMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 BURRELL ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02119-3018
Mailing Address - Country:US
Mailing Address - Phone:617-869-8741
Mailing Address - Fax:
Practice Address - Street 1:56 DIMOCK ST
Practice Address - Street 2:
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02119-1210
Practice Address - Country:US
Practice Address - Phone:617-442-8800
Practice Address - Fax:617-442-4080
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor