Provider Demographics
NPI:1710327127
Name:CHELTON, ANGELIQUE (MA, PMH-C, CGP, CLC)
Entity Type:Individual
Prefix:
First Name:ANGELIQUE
Middle Name:
Last Name:CHELTON
Suffix:
Gender:F
Credentials:MA, PMH-C, CGP, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-9150
Mailing Address - Country:US
Mailing Address - Phone:610-585-0806
Mailing Address - Fax:
Practice Address - Street 1:2913 WINDMILL RD STE 1
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-1669
Practice Address - Country:US
Practice Address - Phone:484-706-9465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-29
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174H00000XOther Service ProvidersHealth Educator
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula