Provider Demographics
NPI:1407156771
Name:SPIERS, ANGELA CHRISTINE (EDD, LPCC, LSW)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:CHRISTINE
Last Name:SPIERS
Suffix:
Gender:F
Credentials:EDD, LPCC, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2590 JACKS CREEK PIKE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-9514
Mailing Address - Country:US
Mailing Address - Phone:859-948-8644
Mailing Address - Fax:
Practice Address - Street 1:2590 JACKS CREEK PIKE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-9514
Practice Address - Country:US
Practice Address - Phone:859-948-8644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1710101YP2500X
KY3514104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker