Provider Demographics
NPI:1225454663
Name:PRESSLEY, MAYA ANGELA
Entity Type:Individual
Prefix:MS
First Name:MAYA
Middle Name:ANGELA
Last Name:PRESSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:ELAINE
Other - Last Name:FLOYD-HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:511 ALCOTT DR APT 25H
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-4459
Mailing Address - Country:US
Mailing Address - Phone:803-476-7980
Mailing Address - Fax:
Practice Address - Street 1:511 ALCOTT DR APT 25H
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-4459
Practice Address - Country:US
Practice Address - Phone:803-476-7980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker