Provider Demographics
NPI:1235479825
Name:LEDFORD, ANGELA EDWARDS (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:EDWARDS
Last Name:LEDFORD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:EDWARDS
Other - Last Name:LEDFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:850 STONEY CREEK CT
Mailing Address - Street 2:
Mailing Address - City:MANY
Mailing Address - State:LA
Mailing Address - Zip Code:71449-7928
Mailing Address - Country:US
Mailing Address - Phone:318-256-0091
Mailing Address - Fax:
Practice Address - Street 1:850 STONEY CREEK CT
Practice Address - Street 2:
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449-7928
Practice Address - Country:US
Practice Address - Phone:318-256-0091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1330101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health