Provider Demographics
NPI:1043973001
Name:ROBLES, ANGELA GRACE (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:GRACE
Last Name:ROBLES
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5603 CAPRICORN LOOP
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-5771
Mailing Address - Country:US
Mailing Address - Phone:254-419-1015
Mailing Address - Fax:
Practice Address - Street 1:3816 CLEAR CREEK RD STE 301
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-4400
Practice Address - Country:US
Practice Address - Phone:844-824-8775
Practice Address - Fax:281-648-2200
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2025-08-28
Deactivation Date:2024-05-16
Deactivation Code:
Reactivation Date:2024-07-12
Provider Licenses
StateLicense IDTaxonomies
TX14028101YA0400X
TX93321101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)