Provider Demographics
NPI:1609972074
Name:LEMOND, ANGELA MARIE (MA, LPC-A, RDN LD)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MARIE
Last Name:LEMOND
Suffix:
Gender:F
Credentials:MA, LPC-A, RDN LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 CHISHOLM PL STE 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6911
Mailing Address - Country:US
Mailing Address - Phone:972-422-9180
Mailing Address - Fax:888-821-2292
Practice Address - Street 1:400 CHISHOLM PL STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6911
Practice Address - Country:US
Practice Address - Phone:972-422-9180
Practice Address - Fax:888-821-2292
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07201133V00000X, 133VN1004X
TX93064101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX925042OtherREIGSTERED DIETITIAN
TXDT07201OtherLICENSED DIETITIAN
TX189645802Medicaid