Active NPIIndividual providerSole proprietor

Ms. Dwyla J Angelos, MA, LMHC

Counselor, Mental Health in Mattapan, Massachusetts

NPI Number1023171998
Practice location
1613 Blue Hill Ave., Priority Professional Care Suite 302, Mattapan, MA 02126
Fax
857-598-4816
Last updated
September 4, 2012

Dwyla J Angelos is a Counselor, Mental Health based in Mattapan, MA. Dwyla J Angelos practices in Mattapan, MA and has the professional credentials of MA, LMHC. The NPI Number for Dwyla J Angelos is 1023171998 and holds a License No. 603 (MA). The current practice location address for Dwyla J Angelos is 1613 Blue Hill Ave., Priority Professional Care Suite 302, Mattapan, MA 02126 and can be reached out via phone at 857-598-4774 and via fax at 857-598-4816.

Provider Profile Details

NPI Number
1023171998
Provider Name
Dwyla J Angelos
Credential
MA, LMHC
Provider Entity Type
Individual
Gender
Female
Address
1613 Blue Hill Ave., Priority Professional Care Suite 302, Mattapan, MA 02126
Phone Number
857-598-4774
Fax Number
857-598-4816
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
December 19, 2006
Last Update Date
September 4, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1613 Blue Hill Ave.
Priority Professional Care Suite 302
Mattapan, MA 02126
Zip
02126
Phone Number
857-598-4774
Fax Number
857-598-4816
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
1613 Blue Hill Ave.
Priority Professional Care Suite 302
Mattapan, MA 02126
City
Mattapan
State
MA
Zip
02126
Phone Number
857-598-4774
Fax Number
857-598-4816

License Information

License Number (1)
603
License State (1)
MA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
LMHC 603
License State (2)
MA
Taxonomy (2)
Counselor, Professional · 101YP2500X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Dwyla J Angelos, MA, LMHC?

The NPI number of Ms. Dwyla J Angelos, MA, LMHC is 1023171998. It was assigned on December 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Dwyla J Angelos, MA, LMHC?

Ms. Dwyla J Angelos, MA, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 603.

Where does Ms. Dwyla J Angelos, MA, LMHC practice?

The practice location is 1613 Blue Hill Ave., Priority Professional Care Suite 302, Mattapan, MA 02126. The office can be reached at 857-598-4774 (phone) or 857-598-4816 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023171998 directly on the NPPES registry website.

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