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Mr. Angello Madison, LPC
Mental Health Counselor in Suffolk, Virginia
NPI 1760638043

Angello Madison is a Mental Health Counselor based in Suffolk, VA and is specialized in Mental Health. Angello Madison practices in Suffolk, VA and has the professional credentials of LPC. The NPI Number for Angello Madison is 1760638043 and holds a License No. 07010007132 (Virginia).

The current practice location address for Angello Madison is 114 N Main St Ste 102A, Suffolk, VA and can be reached out via phone at 757-921-2762.

Location: 114 N Main St Ste 102A, Suffolk, VA, 23434-4564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760638043
Provider Name
Angello Madison
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
114 N Main St Ste 102A, Suffolk, VA, 23434-4564
Phone Number
757-921-2762
Fax Number
Provider Enumeration Date
08/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
114 N Main St Ste 102A
City
Suffolk
State
Virginia
Zip
23434-4564
Phone Number
757-921-2762
Fax Number
person
Provider Business Mailing Address Details
Address
114 N Main St Ste 102A
City
Suffolk
State
Virginia
Zip
23434-4564
Phone Number
757-921-2762
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
07010007132 (Virginia)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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