Provider Demographics
NPI:1619109253
Name:HARPER, ANGELA (LMHC, CAP)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14829 71ST PL N
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-4491
Mailing Address - Country:US
Mailing Address - Phone:561-252-7368
Mailing Address - Fax:561-753-6217
Practice Address - Street 1:14829 71ST PL N
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-4491
Practice Address - Country:US
Practice Address - Phone:561-252-7368
Practice Address - Fax:561-753-6217
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-16
Last Update Date:2009-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP 2738101YA0400X
FLMH 7707101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL07000091648OtherDIVISON OF CORPORATIONS DOCUMENT NUMBER
FLL07000091648OtherDIVISON OF CORPORATIONS DOCUMENT NUMBER