Provider Demographics
NPI:1639544406
Name:THERAPYWORKS BY ANGELA HILL LLC
Entity Type:Organization
Organization Name:THERAPYWORKS BY ANGELA HILL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PROFESSIONAL COUN
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:V
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, NCC
Authorized Official - Phone:301-971-4086
Mailing Address - Street 1:1113 ODENTON RD
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1606
Mailing Address - Country:US
Mailing Address - Phone:757-303-8068
Mailing Address - Fax:
Practice Address - Street 1:1113 ODENTON RD
Practice Address - Street 2:SUITE 1D
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1606
Practice Address - Country:US
Practice Address - Phone:301-971-4086
Practice Address - Fax:410-849-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-04
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5695251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD456728500Medicaid