Angella Vassell, M.ED CSC-AD
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Manchester, MD
NPI 1093058596 · NPPES record last updated Apr 3, 2013
Key facts
- NPI
- 1093058596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- SC0513 (MD)
- Practice address
- 3206 McCurley Dr
Manchester, MD 21102-1449 - Phone
- (443) 453-1161
- NPI assigned
- Apr 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC0513 | MD | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowering Mindz, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SC0513 | MD | Yes |
Addresses
Primary practice location
3206 McCurley Dr
Manchester, MD 21102-1449
Mailing address
3206 McCurley Dr
Manchester, MD 21102-1449
Phone (443) 453-1161
Other names
- Mrs. Angella Vassell
Other providers in Manchester, MD
- Anna Theresa Swift
- Michael Sykes
- Synergy Medical Group LLC
- Angela C Thomas
- Total Wellness Mental Health Clinic LLC
- Victor R. Aybar,DPM,PA
- Bryanna Waltz
- Crystal Weise
- Melissa D. Williams
- Krista M Winslow
All providers in Manchester, MD · Addiction (Substance Use Disorder) Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.