Provider Demographics
NPI:1619290178
Name:VELEZ, ANGELA B (LPC, LCPC, NCC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:B
Last Name:VELEZ
Suffix:
Gender:F
Credentials:LPC, LCPC, NCC
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:B
Other - Last Name:BARCELONA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LCPC, NCC
Mailing Address - Street 1:PO BOX 1088
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-0019
Mailing Address - Country:US
Mailing Address - Phone:770-322-4619
Mailing Address - Fax:
Practice Address - Street 1:8258 VETERANS HWY STE 13
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1564
Practice Address - Country:US
Practice Address - Phone:410-768-6088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTLPC2503101YM0800X
GALPC008351101YM0800X
MDLC10444101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health