Provider Demographics
NPI:1043096829
Name:ANGELONE MENTAL HEALTH COUNSELING PLLC
Entity Type:Organization
Organization Name:ANGELONE MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIEANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANGELONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-376-9467
Mailing Address - Street 1:157 CLAWSON ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-3238
Mailing Address - Country:US
Mailing Address - Phone:917-725-0385
Mailing Address - Fax:
Practice Address - Street 1:157 CLAWSON ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-3238
Practice Address - Country:US
Practice Address - Phone:917-725-0385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty