Provider Demographics
NPI:1073774907
Name:DEVOE, ANGEL LYNN (MS, EDS, LMHC)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:LYNN
Last Name:DEVOE
Suffix:
Gender:F
Credentials:MS, EDS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12360 66TH ST
Mailing Address - Street 2:SUITE 770
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-3434
Mailing Address - Country:US
Mailing Address - Phone:727-421-6826
Mailing Address - Fax:
Practice Address - Street 1:12360 66TH ST
Practice Address - Street 2:SUITE 770
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-3434
Practice Address - Country:US
Practice Address - Phone:727-421-6826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8824101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC80020OtherNATIONAL CERTIFIED COUNSELOR
MH 8824OtherFLORIDA DEPARTMENT OF HEALTH
FL005486000Medicaid