Provider Demographics
NPI:1821817354
Name:FOX, ANGELA NOEL (LPCA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:NOEL
Last Name:FOX
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3426 QUEENSWAY DR
Mailing Address - Street 2:
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-1130
Mailing Address - Country:US
Mailing Address - Phone:859-653-1911
Mailing Address - Fax:
Practice Address - Street 1:3426 QUEENSWAY DR
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1130
Practice Address - Country:US
Practice Address - Phone:859-653-1911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY285885101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty