Provider Demographics
NPI:1073537262
Name:ANGLADA, MIGUEL ANGEL JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MIGUEL
Middle Name:ANGEL
Last Name:ANGLADA
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:MIGUEL
Other - Middle Name:ANGEL
Other - Last Name:ANGLADA
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:10223 GARDEN CROSSING LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6478
Mailing Address - Country:US
Mailing Address - Phone:281-778-8631
Mailing Address - Fax:281-778-8632
Practice Address - Street 1:6701 HIGHWAY 6 STE 140
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4371
Practice Address - Country:US
Practice Address - Phone:832-483-5806
Practice Address - Fax:281-778-8632
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX228581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical