Organization
ANGEL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELIQUE M AUSTIN LMHC (OWNER)
(850) 619-3230
Entity
Organization
Contact information
Practice address
5126 TERRA LAKE CIR, PENSACOLA, FL 32507-9092
(850) 619-3230
Mailing address
7203 PINE FOREST RD, PENSACOLA, FL 32526-3908
(850) 619-3230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12979
FL
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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