Organization
ANGELS, LLC
Active
Other names
Angels, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN DESHAZO- JACKSON MSW, LCSW (CEO)
(804) 901-0681
Entity
Organization
Contact information
Practice address
5941 TUSKWILLOW DR, CHESTERFIELD, VA 23832-8154
(804) 901-0681
Mailing address
PO BOX 34255, NORTH CHESTERFIELD, VA 23234-0255
(804) 901-0681
(804) 901-0681
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/11/2025
Last updated
05/19/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up