Provider Demographics
NPI:1508801614
Name:TORP, ANGELA M (LPC)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:M
Last Name:TORP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 N PARIS ST
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-2843
Mailing Address - Country:US
Mailing Address - Phone:254-715-5352
Mailing Address - Fax:
Practice Address - Street 1:202 N PARIS ST
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667-2843
Practice Address - Country:US
Practice Address - Phone:254-715-5352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS24684104100000X
TX16194101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS24684OtherLBSW
TX165470903Medicaid