Provider Demographics
NPI:1568095917
Name:STUART, ANGELA K (LPC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:K
Last Name:STUART
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 1:1004 S MOUNT OLIVE ST STE A
Mailing Address - Street 2:
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-4223
Mailing Address - Country:US
Mailing Address - Phone:404-389-1510
Mailing Address - Fax:479-750-4843
Practice Address - Street 1:105 E ALPINE ST
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-3164
Practice Address - Country:US
Practice Address - Phone:405-389-1510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2402004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional