Become an FEI Behavioral Health Provider

Thank you for your interest in joining the FEI Behavioral Health Provider Network.  Please complete the information below in order to begin the process. 

Clinician Name:        

CAQH Number:

Type of Agency:   Type of Practice:

Agency Name:       

Address:              

City:    State/Province:   Postal/Zip Code:

Phone Number:    Mobile Office Home Other

Fax Number:     

E-mail:                   Website: 

Specialties/Languages: 

Interested in (mark all that apply):

EAP Clinician (FEI requires at least one {1} year of EAP experience; for minimum requirements, click here)

Crisis Responder (for more information, click here or visit www.fei-responder.com)

Trainer Specialist

Substance Abuse Specialist or Significant Experience

Trauma, PTSD, Critical Incident Debriefing Experience

Any questions?  Please call 1-800-782-1948 or email  pr@feinet.com .  Thanks!