Provider Demographics
NPI:1194842856
Name:SHI, ANGELA K (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:K
Last Name:SHI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 SACRAMENTO ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-2535
Mailing Address - Country:US
Mailing Address - Phone:415-392-4453
Mailing Address - Fax:415-392-4453
Practice Address - Street 1:720 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-2535
Practice Address - Country:US
Practice Address - Phone:415-392-4453
Practice Address - Fax:415-392-4453
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87606106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
11251OtherSFGH INTERNAL USE ONLY
11251OtherCBHS INTERNAL USE ONLY-COMMERCIAL NUMBER