Provider Demographics
NPI:1386511509
Name:MCCARTNEY, ANGEL CHEYENNE
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:CHEYENNE
Last Name:MCCARTNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 KEDRON RD
Mailing Address - Street 2:
Mailing Address - City:TALLMANSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26237-8041
Mailing Address - Country:US
Mailing Address - Phone:304-516-8757
Mailing Address - Fax:
Practice Address - Street 1:133 STAUNTON DR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WV
Practice Address - Zip Code:26452-5604
Practice Address - Country:US
Practice Address - Phone:304-269-9510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-22
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator