Organization
LITTLE ANGELS THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DOYLE FORD (VP)
(828) 302-2056
Entity
Organization
Contact information
Practice address
2121 12TH AVE NE, HICKORY, NC 28601-3187
(828) 578-6028
(855) 767-7030
Mailing address
21 RIVER TERRACE CT, TAYLORSVILLE, NC 28681-3920
(828) 302-2055
(855) 767-7030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200384
—
NC
Enumeration date
06/16/2020
Last updated
06/16/2020
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