Provider Demographics
NPI:1881737682
Name:ANGELOVICH, NANCY LOUISE (LMHC,CAP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LOUISE
Last Name:ANGELOVICH
Suffix:
Gender:F
Credentials:LMHC,CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7893 SAILBOAT KEY BLVD S
Mailing Address - Street 2:#403
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:FL
Mailing Address - Zip Code:33707-6364
Mailing Address - Country:US
Mailing Address - Phone:727-367-6052
Mailing Address - Fax:
Practice Address - Street 1:6720 54TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-1402
Practice Address - Country:US
Practice Address - Phone:727-547-4508
Practice Address - Fax:727-547-4517
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 5648101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH 5648OtherLICENSED MENTAL HEALTH CO