Provider Demographics
NPI:1225891708
Name:BRANCHECK, ANGELIA ELIZABETH (M ED, LBS)
Entity Type:Individual
Prefix:
First Name:ANGELIA
Middle Name:ELIZABETH
Last Name:BRANCHECK
Suffix:
Gender:F
Credentials:M ED, LBS
Other - Prefix:
Other - First Name:ANGELIA
Other - Middle Name:ELIZABETH
Other - Last Name:WORKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:184 HOPWOOD FAIRCHANCE RD
Mailing Address - Street 2:
Mailing Address - City:HOPWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:15445-2100
Mailing Address - Country:US
Mailing Address - Phone:724-970-9844
Mailing Address - Fax:
Practice Address - Street 1:412 S PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-4003
Practice Address - Country:US
Practice Address - Phone:724-626-8420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH006647103K00000X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101Y00000XBehavioral Health & Social Service ProvidersCounselor