Provider Demographics
NPI:1437579265
Name:HOODYE, ANGEL M (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:M
Last Name:HOODYE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:MS
Other - First Name:ANGEL
Other - Middle Name:M
Other - Last Name:BROOKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:635 E. KING AVE
Mailing Address - Street 2:ROOM 104
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363
Mailing Address - Country:US
Mailing Address - Phone:361-355-5558
Mailing Address - Fax:
Practice Address - Street 1:635 E KING AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-5701
Practice Address - Country:US
Practice Address - Phone:361-355-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-19
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68439101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional