Provider Demographics
NPI:1740604875
Name:SEETS, ANGELA THOMAS (MA, LCSW-BACS, C-ASW)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:THOMAS
Last Name:SEETS
Suffix:
Gender:F
Credentials:MA, LCSW-BACS, C-ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:510 E STONER AVE
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4243
Mailing Address - Country:US
Mailing Address - Phone:318-218-4431
Mailing Address - Fax:318-865-9711
Practice Address - Street 1:510 E STONER AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4243
Practice Address - Country:US
Practice Address - Phone:318-210-4376
Practice Address - Fax:318-212-1193
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-10
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA110021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty