Angela Eades-Lafollette, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ANGELA EADES-LAFOLLETTE, PLLC

Doing business as

Angela Eades, LCSW

Practice address

209 W Main St
Abingdon, VA 24210-2715

Phone

(276) 676-7000

Fax

(276) 676-7000

NPI assigned

Nov 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Nicole Eades, LCSW

Title

Owner

Phone

(276) 676-7000

Specialties & licenses 1

Addresses

Other names 1

• Angela Eades, LCSW Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1770187445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2363",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242122363",
            "telephone_number": "276-676-7000",
            "fax_number": "276-676-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102715",
            "telephone_number": "276-676-7000",
            "fax_number": "276-676-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA EADES-LAFOLLETTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "EADES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-676-7000",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angela Eades, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.