Provider Demographics
NPI:1508759416
Name:VANCE, ANGELA (CAREER COACH)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:VANCE
Suffix:
Gender:F
Credentials:CAREER COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3458 WHITEKIRK WAY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-3355
Mailing Address - Country:US
Mailing Address - Phone:513-304-0627
Mailing Address - Fax:
Practice Address - Street 1:3458 WHITEKIRK WAY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-3355
Practice Address - Country:US
Practice Address - Phone:513-304-0627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator