Provider Demographics
NPI:1417120643
Name:BURCIAGA, ANGELA RAINEY (MS, LPC-S)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:RAINEY
Last Name:BURCIAGA
Suffix:
Gender:F
Credentials:MS, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 FM 2920 RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3428
Mailing Address - Country:US
Mailing Address - Phone:281-210-1500
Mailing Address - Fax:713-457-0945
Practice Address - Street 1:2929 FM 2920 RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3428
Practice Address - Country:US
Practice Address - Phone:281-210-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19867101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional