1205521085 NPI number — MS. ANGELA PAOLA HOWELL M.A,LAPC, NBCC

Table of content: MS. ANGELA PAOLA HOWELL M.A,LAPC, NBCC (NPI 1205521085)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205521085 NPI number — MS. ANGELA PAOLA HOWELL M.A,LAPC, NBCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWELL
Provider First Name:
ANGELA
Provider Middle Name:
PAOLA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A,LAPC, NBCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205521085
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/25/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1440 JIM EDMONDSON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GOOD HOPE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30641-1642
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-910-8463
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2318 BROWNS BRIDGE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GAINESVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30504-6041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-718-5710
Provider Business Practice Location Address Fax Number:
770-536-1023
Provider Enumeration Date:
04/07/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: APC009361 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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