Provider Demographics
NPI:1093946790
Name:PAIGE, ANGEL BETH (LPCC, LPC, LISAC)
Entity Type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:BETH
Last Name:PAIGE
Suffix:
Gender:F
Credentials:LPCC, LPC, LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W BASELINE RD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-5348
Mailing Address - Country:US
Mailing Address - Phone:507-829-4139
Mailing Address - Fax:
Practice Address - Street 1:401 W BASELINE RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-5348
Practice Address - Country:US
Practice Address - Phone:507-829-4139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-19992101YM0800X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health