Provider Demographics
NPI:1558788075
Name:GERMAN, ANGELA (LPC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:GERMAN
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 1:5225 OLD MONROE RD
Mailing Address - Street 2:
Mailing Address - City:COLLINSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71229-9025
Mailing Address - Country:US
Mailing Address - Phone:318-282-0276
Mailing Address - Fax:319-515-0019
Practice Address - Street 1:5225 OLD MONROE RD
Practice Address - Street 2:
Practice Address - City:COLLINSTON
Practice Address - State:LA
Practice Address - Zip Code:71229-9025
Practice Address - Country:US
Practice Address - Phone:318-282-0276
Practice Address - Fax:319-283-3298
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-21
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5130101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health