Provider Demographics
NPI:1538430103
Name:WORLEY, ANGELIA MONET (LPCC)
Entity type:Individual
Prefix:
First Name:ANGELIA
Middle Name:MONET
Last Name:WORLEY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16781 CHAGRIN BLVD STE 436
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-3721
Mailing Address - Country:US
Mailing Address - Phone:216-200-5433
Mailing Address - Fax:888-745-5166
Practice Address - Street 1:26300 CEDAR RD STE 1105
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1190
Practice Address - Country:US
Practice Address - Phone:216-200-5433
Practice Address - Fax:888-740-9968
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0900558101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0203328Medicaid