Provider Demographics
NPI:1023780004
Name:SPRAGGINS, ANGELICA JOYELLE (CRC, LPC)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:JOYELLE
Last Name:SPRAGGINS
Suffix:
Gender:F
Credentials:CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 W 11TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-2968
Mailing Address - Country:US
Mailing Address - Phone:585-410-1792
Mailing Address - Fax:
Practice Address - Street 1:2230 W 8TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-4545
Practice Address - Country:US
Practice Address - Phone:833-487-5769
Practice Address - Fax:814-315-9564
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013753101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional