Angela Marie Barefoot

Individual provider Active NPI Professional Counselor · Providence Village, TX

NPI 1366920126 · NPPES record last updated Aug 3, 2018

Key facts

NPI
1366920126
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
72841 (TX)
Practice address
8939 Stallings Dr
Providence Village, TX 76227-2043
Phone
(214) 784-0715
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
72841TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 72841 TX Yes

Addresses

Primary practice location

8939 Stallings Dr
Providence Village, TX 76227-2043

Mailing address

8939 Stallings Dr
Providence Village, TX 76227-2043
Phone (214) 784-0715

Other providers in Providence Village, TX

All providers in Providence Village, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.