Provider Demographics
NPI:1326598921
Name:LANGENFELD, ANGELA (LPC-IT, SAC-IT)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:LANGENFELD
Suffix:
Gender:F
Credentials:LPC-IT, SAC-IT
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:HELLSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-IT, SAC-IT
Mailing Address - Street 1:4813 TANGLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53402-2544
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1849 N MARTIN LUTHER KING DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3639
Practice Address - Country:US
Practice Address - Phone:414-347-1774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17299-130101YA0400X
WI2673-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)