Provider Demographics
NPI:1356899165
Name:NELSON, ANJELICA MIELE (LPC MFT)
Entity type:Individual
Prefix:
First Name:ANJELICA
Middle Name:MIELE
Last Name:NELSON
Suffix:
Gender:F
Credentials:LPC MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3360 BARRETT RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-1802
Mailing Address - Country:US
Mailing Address - Phone:440-382-0224
Mailing Address - Fax:
Practice Address - Street 1:230 S COURT ST
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-2275
Practice Address - Country:US
Practice Address - Phone:330-723-7977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional