Provider Demographics
NPI:1013212125
Name:CULBREATH, ANGELA V (MA, LPC, NCPC)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:V
Last Name:CULBREATH
Suffix:
Gender:F
Credentials:MA, LPC, NCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2062 N BELTLINE BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-3903
Mailing Address - Country:US
Mailing Address - Phone:843-475-8656
Mailing Address - Fax:
Practice Address - Street 1:2062 N BELTLINE BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-3903
Practice Address - Country:US
Practice Address - Phone:843-475-8656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-20
Last Update Date:2016-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health