Organization
BROKEN ANGEL COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY JANE CAPPS LCMHCS LCAS CCS (OWNER/THERAPIST)
(724) 968-2435
Entity
Organization
Contact information
Practice address
2208 US HIGHWAY 421 N, BOONE, NC 28607-7692
(724) 968-2435
Mailing address
2208 US HIGHWAY 421 N, BOONE, NC 28607-7692
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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