Provider Demographics
NPI:1417207846
Name:FERRELL, ANGELA HOPE (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:HOPE
Last Name:FERRELL
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 E 20TH ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-3510
Mailing Address - Country:US
Mailing Address - Phone:386-216-3162
Mailing Address - Fax:386-216-3162
Practice Address - Street 1:587 E SR 434
Practice Address - Street 2:1021
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5201
Practice Address - Country:US
Practice Address - Phone:407-331-8002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH8639101YM0800X
FLMH 14571101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health