Provider Demographics
NPI:1881066249
Name:HARRINGTON, ANGELA PATRICE (LCMHC NCC)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:PATRICE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LCMHC NCC
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:PATRICE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHC NCC
Mailing Address - Street 1:8376 SIX FORKS RD STE 104
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-5095
Mailing Address - Country:US
Mailing Address - Phone:252-220-9470
Mailing Address - Fax:
Practice Address - Street 1:8376 SIX FORKS RD STE 104
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-5095
Practice Address - Country:US
Practice Address - Phone:919-900-7438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-26
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11874101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1881066249Medicaid