Provider Demographics
NPI:1689011306
Name:COREIL, ANGELA JOYCE (PHD, LP, LPC-S)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:JOYCE
Last Name:COREIL
Suffix:
Gender:F
Credentials:PHD, LP, LPC-S
Other - Prefix:DR
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:CATHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPA
Mailing Address - Street 1:1333 W MCDERMOTT DR STE 150
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3088
Mailing Address - Country:US
Mailing Address - Phone:316-573-6039
Mailing Address - Fax:469-298-8913
Practice Address - Street 1:1333 W MCDERMOTT DR STE 150
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3088
Practice Address - Country:US
Practice Address - Phone:214-561-7445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38146103TC0700X
WI5332-125101YM0800X
TX93174101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional