Individual provider · Type 1 NPI

Angello Madison, LPC

Community/Behavioral Health Agency · Suffolk, VA

NPI number 1760638043 Active

Practice location

114 N Main St Ste 102A
Suffolk, VA 23434-4564

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X07010007132 (VA)
Mental Health Counselor 101YM0800XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1760638043

Angello Madison, LPC's National Provider Identifier is 1760638043, issued on Aug 18, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Suffolk, VA. The record was last updated on Jul 9, 2021.