Provider Demographics
NPI:1982462032
Name:ANGELA SEESHOLTZ COUNSELING
Entity Type:Organization
Organization Name:ANGELA SEESHOLTZ COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEESHOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-910-2769
Mailing Address - Street 1:122 N CORTEZ ST STE 218
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-3023
Mailing Address - Country:US
Mailing Address - Phone:928-910-2769
Mailing Address - Fax:928-910-2769
Practice Address - Street 1:122 N CORTEZ ST STE 218
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-3023
Practice Address - Country:US
Practice Address - Phone:928-910-2769
Practice Address - Fax:928-910-2769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty