Individual
ANGELA SEMIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1639 RYAN ST, LAKE CHARLES, LA 70601
(337) 602-6391
Mailing address
803 W BAYOU PINES DR STE D, LAKE CHARLES, LA 70601-7096
(504) 516-7574
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434740471
BH MENTAL HEALTH PROVIDER
LA
Enumeration date
07/07/2016
Last updated
06/20/2018
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