Provider Demographics
NPI:1033242771
Name:WHITE, ANGELA DENISE (LPCC CEAP)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:DENISE
Last Name:WHITE
Suffix:
Gender:F
Credentials:LPCC CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 BEAL RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-4650
Mailing Address - Country:US
Mailing Address - Phone:937-654-2685
Mailing Address - Fax:937-514-7541
Practice Address - Street 1:2824 BEAL RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-4650
Practice Address - Country:US
Practice Address - Phone:937-654-2685
Practice Address - Fax:937-514-7541
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3439101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional