Provider Demographics
NPI:1548063977
Name:ANGELO, CHELSIE MARIE (LMHC-D)
Entity type:Individual
Prefix:
First Name:CHELSIE
Middle Name:MARIE
Last Name:ANGELO
Suffix:
Gender:
Credentials:LMHC-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 TAIT AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-3504
Mailing Address - Country:US
Mailing Address - Phone:585-727-5593
Mailing Address - Fax:
Practice Address - Street 1:252 TAIT AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616-3504
Practice Address - Country:US
Practice Address - Phone:585-727-5593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014459101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health