Provider Demographics
NPI:1720109705
Name:MILLER, ANGELA HOOD (MS)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:HOOD
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 KESTREL CT.
Mailing Address - Street 2:#2016
Mailing Address - City:SAPPHIRE
Mailing Address - State:NC
Mailing Address - Zip Code:28774
Mailing Address - Country:US
Mailing Address - Phone:828-743-1094
Mailing Address - Fax:
Practice Address - Street 1:253 KESTREL CT.
Practice Address - Street 2:#2016
Practice Address - City:SAPPHIRE
Practice Address - State:NC
Practice Address - Zip Code:28774
Practice Address - Country:US
Practice Address - Phone:828-743-1094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4596101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor