Provider Demographics
NPI:1255930269
Name:DANGEL, MEREDITH M (LCMHCA)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:M
Last Name:DANGEL
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 LITTLE BEND CT
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-6137
Mailing Address - Country:US
Mailing Address - Phone:919-493-8677
Mailing Address - Fax:
Practice Address - Street 1:5015 SOUTHPARK DR STE 240
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7736
Practice Address - Country:US
Practice Address - Phone:919-442-8546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15914101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health