Provider Demographics
NPI:1083986228
Name:PECSENYE, ANGELA MARY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARY
Last Name:PECSENYE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-1026
Mailing Address - Country:US
Mailing Address - Phone:734-635-9955
Mailing Address - Fax:
Practice Address - Street 1:31572 SCHOOLCRAFT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1805
Practice Address - Country:US
Practice Address - Phone:248-957-8973
Practice Address - Fax:888-390-4330
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010461101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional