Organization
ANGELUS THERAPEUTIC SERVICES INC
Active
Other names
Angelus Therapeutic Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NESSA L SMITH LCSW MSW MBA (DIRECTOR)
(724) 654-9555
Entity
Organization
Contact information
Practice address
401 N JEFFERSON ST, NEW CASTLE, PA 16101-2238
(724) 654-9555
(724) 498-0976
Mailing address
401 N JEFFERSON ST, NEW CASTLE, PA 16101-2238
(724) 654-9555
(724) 498-0976
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
89319997
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102946000 0010
—
PA
05
—
102946000 0011
—
PA
05
—
102946000 0012
—
PA
Enumeration date
11/18/2008
Last updated
06/13/2024
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