Provider Demographics
NPI:1730696022
Name:ROZIER, ANGELA MICHALE
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:MICHALE
Last Name:ROZIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:598 QUEENSBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-6454
Mailing Address - Country:US
Mailing Address - Phone:678-230-7479
Mailing Address - Fax:
Practice Address - Street 1:2730 OWENS AVE SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-4280
Practice Address - Country:US
Practice Address - Phone:678-239-7479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012987101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health