Provider Demographics
NPI:1912154295
Name:ANGELL, LISA GALLEHUGH (LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:GALLEHUGH
Last Name:ANGELL
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9224 BERNARD RD
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76266-6033
Mailing Address - Country:US
Mailing Address - Phone:940-458-3842
Mailing Address - Fax:
Practice Address - Street 1:4601 N INTERSTATE 35
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-3419
Practice Address - Country:US
Practice Address - Phone:940-484-8232
Practice Address - Fax:940-484-1385
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10534101YP2500X
TX002480106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist