Provider Demographics
NPI:1831921758
Name:ANGEL REED, LLC
Entity type:Organization
Organization Name:ANGEL REED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:407-925-3002
Mailing Address - Street 1:220 MARLBOROUGH ST APT 6
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-1771
Mailing Address - Country:US
Mailing Address - Phone:407-925-3002
Mailing Address - Fax:
Practice Address - Street 1:220 MARLBOROUGH ST APT 6
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-1771
Practice Address - Country:US
Practice Address - Phone:407-925-3002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty