Provider Demographics
NPI:1831536697
Name:KOENIG, ANGEL KAY (MED, NCC, LPC-I)
Entity type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:KAY
Last Name:KOENIG
Suffix:
Gender:F
Credentials:MED, NCC, LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 N LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-6908
Mailing Address - Country:US
Mailing Address - Phone:469-831-7452
Mailing Address - Fax:
Practice Address - Street 1:1306 N LOCUST ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-6908
Practice Address - Country:US
Practice Address - Phone:469-831-7452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69037101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health