Individual provider · Type 1 NPI

Angela Michele Mudge, MA, LMHC

Mental Health Counselor · Lakeland, FL

NPI number 1871883074 Active

Practice location

5110 S Florida Ave, Suite 105
Lakeland, FL 33813-2512

Call (863) 838-4949 Map

Fax (863) 510-5903

Mailing address

6002 N Fork Ct
Lakeland, FL 33809-1432

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH10699 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1871883074

Angela Michele Mudge, MA, LMHC's National Provider Identifier is 1871883074, issued on Apr 10, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakeland, FL. The record was last updated on Apr 10, 2011.