Provider Demographics
NPI:1265721567
Name:PEOPLES, ANGELA (MA LPC NCC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:PEOPLES
Suffix:
Gender:F
Credentials:MA LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3689 COLLINS DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-1001
Mailing Address - Country:US
Mailing Address - Phone:678-993-6780
Mailing Address - Fax:770-852-6848
Practice Address - Street 1:5101 BUFFINGTON RD
Practice Address - Street 2:STE 3445
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-2922
Practice Address - Country:US
Practice Address - Phone:678-993-6780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006119101YP2500X
MI6401009213101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional