Provider Demographics
NPI:1811370265
Name:RINK, ANGIE (MS, NCC, LPC, CPCS,)
Entity Type:Individual
Prefix:
First Name:ANGIE
Middle Name:
Last Name:RINK
Suffix:
Gender:F
Credentials:MS, NCC, LPC, CPCS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3816 BROWNS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-3927
Mailing Address - Country:US
Mailing Address - Phone:678-780-6225
Mailing Address - Fax:678-389-9807
Practice Address - Street 1:3816 BROWNS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-3927
Practice Address - Country:US
Practice Address - Phone:678-780-6225
Practice Address - Fax:678-389-9807
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008456101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional