Provider Demographics
NPI:1174883086
Name:VIRGINIA C. ANGEL, JD, MA, LPC, PA
Entity type:Organization
Organization Name:VIRGINIA C. ANGEL, JD, MA, LPC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:JD, MA, LPC
Authorized Official - Phone:713-703-7737
Mailing Address - Street 1:816 HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-3902
Mailing Address - Country:US
Mailing Address - Phone:713-703-7737
Mailing Address - Fax:
Practice Address - Street 1:816 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-3902
Practice Address - Country:US
Practice Address - Phone:713-703-7737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty