Provider Demographics
NPI:1508690850
Name:DAVIS, ANGELA ELSKE MCFARLAND (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:ELSKE MCFARLAND
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 ALASKA ST
Mailing Address - Street 2:
Mailing Address - City:VAN
Mailing Address - State:TX
Mailing Address - Zip Code:75790-2901
Mailing Address - Country:US
Mailing Address - Phone:903-508-0247
Mailing Address - Fax:
Practice Address - Street 1:149 ALASKA ST
Practice Address - Street 2:
Practice Address - City:VAN
Practice Address - State:TX
Practice Address - Zip Code:75790-2901
Practice Address - Country:US
Practice Address - Phone:903-508-0247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95978101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health