Provider Demographics
NPI:1780967141
Name:MCGLAMERY, ANGIE MASHAE (MA, LPC)
Entity type:Individual
Prefix:
First Name:ANGIE
Middle Name:MASHAE
Last Name:MCGLAMERY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:MASHAE
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:C/O CHEZ MICHELLE SALON 119 ARROW RD SUITE C
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29928-6034
Mailing Address - Country:US
Mailing Address - Phone:843-422-6210
Mailing Address - Fax:
Practice Address - Street 1:23 PLANTATION PARK DRIVE SUITE 202
Practice Address - Street 2:C/O HELENE STOLLER, PSY,D., LP AND ASSOCIATES
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910
Practice Address - Country:US
Practice Address - Phone:843-290-6828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5228101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional