Provider Demographics
NPI:1033917877
Name:CARMONA, ANGELA HOPE
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:HOPE
Last Name:CARMONA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 CLUBHOUSE DR APT A8
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3570
Mailing Address - Country:US
Mailing Address - Phone:731-610-8341
Mailing Address - Fax:
Practice Address - Street 1:1325 JACKSON ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-6930
Practice Address - Country:US
Practice Address - Phone:318-787-6805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health