Provider Demographics
NPI:1861816902
Name:ABRAMS, ANGELA (LPCC-S)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:HELLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4675 40TH AVE S STE 115
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-4592
Mailing Address - Country:US
Mailing Address - Phone:701-751-0384
Mailing Address - Fax:
Practice Address - Street 1:4675 40TH AVE S STE 115
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-4592
Practice Address - Country:US
Practice Address - Phone:701-478-0906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-10
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND12-1-14-284101YM0800X
ND812-12-1-14-284101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1471220Medicaid