Provider Demographics
NPI:1326619446
Name:POWER, ANGELINA DANIELA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:DANIELA
Last Name:POWER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 W BUTLER AVE # 5165
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5196
Mailing Address - Country:US
Mailing Address - Phone:267-629-2131
Mailing Address - Fax:
Practice Address - Street 1:85 W BUTLER AVE # 5165
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-5196
Practice Address - Country:US
Practice Address - Phone:267-629-2131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-09
Last Update Date:2024-03-29
Deactivation Date:2022-05-04
Deactivation Code:
Reactivation Date:2022-07-15
Provider Licenses
StateLicense IDTaxonomies
PAPC011790101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional