Provider Demographics
NPI:1164578647
Name:MORRELL, ANGELA KERSHAW (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:KERSHAW
Last Name:MORRELL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 CHAMPEAUX RD
Mailing Address - Street 2:
Mailing Address - City:FISKDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01518-1121
Mailing Address - Country:US
Mailing Address - Phone:413-532-9446
Mailing Address - Fax:413-533-3332
Practice Address - Street 1:230 MAPLE ST
Practice Address - Street 2:STE. B1
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-5144
Practice Address - Country:US
Practice Address - Phone:413-532-9446
Practice Address - Fax:413-533-3332
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5439101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health