Provider Demographics
NPI:1801293089
Name:ANGEL, DENAH (MA)
Entity type:Individual
Prefix:
First Name:DENAH
Middle Name:
Last Name:ANGEL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 20TH ST S BLDG CH20
Mailing Address - Street 2:SUITE 357A
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-2610
Mailing Address - Country:US
Mailing Address - Phone:205-975-8269
Mailing Address - Fax:
Practice Address - Street 1:930 20TH ST S BLDG CH20
Practice Address - Street 2:SUITE 357A
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-2610
Practice Address - Country:US
Practice Address - Phone:205-975-8269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health