Provider Demographics
NPI:1992367635
Name:DR. ANGELICA DEMPSEY, LLC
Entity Type:Organization
Organization Name:DR. ANGELICA DEMPSEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMPSEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:404-850-6261
Mailing Address - Street 1:PO BOX 1701
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-1020
Mailing Address - Country:US
Mailing Address - Phone:404-850-6261
Mailing Address - Fax:
Practice Address - Street 1:605 HILLANDALE PARK DR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-8836
Practice Address - Country:US
Practice Address - Phone:404-850-6261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty