| Angel Therapy, Llc | |
|
5126 Terra Lake Cir Pensacola FL 32507-9092 | |
| (850) 619-3230 | |
| Not Available |
| Full Name | Angel Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5126 Terra Lake Cir, Pensacola, Florida |
| Authorized Official Name and Position | Angelique M Austin (OWNER) |
| Authorized Official Contact | 8506193230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Therapy, Llc 7203 Pine Forest Rd Pensacola FL 32526-3908 Ph: (850) 619-3230 | Angel Therapy, Llc 5126 Terra Lake Cir Pensacola FL 32507-9092 Ph: (850) 619-3230 |
| NPI Number | 1437684438 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 04/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437684438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH12979 (Florida) | Primary |
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