# ANGEL'S PLACE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CSP Recovery Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265258446
- **Authorized official:** MICHAEL MONTEZ PERCELL (OWNER)
- **Authorized official phone:** (502) 356-6035

## Contact information

- **Practice address:** 939 BAXTER AVE, LOUISVILLE, KY 40204-2046
- **Practice address phone:** (812) 660-9936
- **Mailing address:** 621 LOUIS COLEMAN JR DR, LOUISVILLE, KY 40211-2952
- **Mailing address phone:** (502) 356-6035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2024
- **Last updated:** 12/03/2024