Provider Demographics
NPI:1881897122
Name:PARSONS, ANGELIA R (MSW, LSW)
Entity type:Individual
Prefix:
First Name:ANGELIA
Middle Name:R
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 FOUNTAIN PL
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-2205
Mailing Address - Country:US
Mailing Address - Phone:937-593-9600
Mailing Address - Fax:937-592-7705
Practice Address - Street 1:221 FOUNTAIN PL
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-2205
Practice Address - Country:US
Practice Address - Phone:937-593-9600
Practice Address - Fax:937-592-7705
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS0031184101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health