Provider Demographics
NPI:1689172967
Name:STINCHCOMB, WILLIAM DE'ANGELO (LPCC-S, CDCA)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DE'ANGELO
Last Name:STINCHCOMB
Suffix:
Gender:M
Credentials:LPCC-S, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 N GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-2641
Mailing Address - Country:US
Mailing Address - Phone:614-224-6617
Mailing Address - Fax:855-208-4527
Practice Address - Street 1:245 N GRANT AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-2641
Practice Address - Country:US
Practice Address - Phone:614-224-6617
Practice Address - Fax:855-208-4527
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-31
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.110863101YA0400X
OHE.2102107-SUPV101Y00000X
OHC.1901676101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)