Provider Demographics
NPI:1578755096
Name:OBERHELMAN, ANGIE M (LPC)
Entity Type:Individual
Prefix:
First Name:ANGIE
Middle Name:M
Last Name:OBERHELMAN
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 1:248 MAIN ST
Mailing Address - Street 2:CENTER FOR INTEGRATIVE HEALING
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2412
Mailing Address - Country:US
Mailing Address - Phone:917-902-5452
Mailing Address - Fax:
Practice Address - Street 1:248 MAIN ST
Practice Address - Street 2:CENTER FOR INTEGRATIVE HEALING
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2412
Practice Address - Country:US
Practice Address - Phone:917-902-5452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1285101YM0800X
NY000401-1101YM0800X
NJ37PC00430300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health