ANGELICA NICOLE CONNELL (NPI# 1275098733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275098733 |
| Entity Type | Individual |
| Full Name | ANGELICA NICOLE CONNELL |
| Credential | LPC |
| Practice Address |
1605 Vernon Rd Ste 1500 Lagrange GA 30240-4166 |
| Mailing Address |
754 Hall Rd Hampton GA 30228-2221 |
| Practice Telephone | 4042476072 |
| Mailing Telephone | 4042476072 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC009942 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1605 VERNON RD STE 1500 |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649764366 | Kelly L Swinyard | Counselor | 1605 Vernon Rd Ste 1500, Lagrange, GA 30240-4166 | 2018-06-16 |
| 1770059354 | Kitrina Bush | Counselor | 1605 Vernon Rd Ste 1500, Lagrange, GA 30240-4166 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902450570 | Meredith Key | Counselor | 401 Ridley Ave, Lagrange, GA 30240-2267 | 2019-07-31 |
| 1538635792 | Niyah Glover | Counselor | 137 Commerce Ave Ste B109, Lagrange, GA 30241-2346 | 2018-10-15 |
| 1649764366 | Kelly L Swinyard | Counselor | 1605 Vernon Rd Ste 1500, Lagrange, GA 30240-4166 | 2018-06-16 |
| 1639677453 | Shelby Sipe | Counselor | 401 Ridley Ave Ste C, Lagrange, GA 30240-2267 | 2018-01-26 |
| 1467723833 | Anthony Jerome Freeman | Counselor | 120 Gordon Commercial Dr Ste B, Lagrange, GA 30240-5753 | 2012-01-18 |
| 1720165152 | Karen B Cooper | Counselor | 301 W Broome St, Lagrange, GA 30240-3166 | 2006-11-01 |
| 1366483141 | Dee L Strycker | Counselor | 836 N Detroit St, Lagrange, IN 46761-1112 | 2006-06-10 |
| 1326004326 | Lisa G. Adams | Counselor | 300 Medical Drive, Lisa Adams, Lpc, Suite 705, Lagrange, GA 30240 | 2006-04-26 |
| 1164036802 | Alexandria Morgan Lee | Counselor | 200 N Lewis St, Lagrange, GA 30240-2738 | 2020-09-01 |
| 1861034332 | Grayson West | Counselor | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2019-10-16 |
| Find all providers in LAGRANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.