Granville Williams Angell, EDS, LPC, NCC
Individual provider Active NPI Professional Counselor · Vale, NC
NPI 1811208598 · NPPES record last updated Jun 28, 2010
Key facts
- NPI
- 1811208598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 798 (NC)
- Practice address
- 7894 Falling Brook LN
Vale, NC 28168-9396 - Phone
- (704) 276-1117
- NPI assigned
- Jun 28, 2010
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 798 | NC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 798 | NC | Yes |
Addresses
Primary practice location
7894 Falling Brook LN
Vale, NC 28168-9396
Mailing address
7894 Falling Brook LN
Vale, NC 28168-9396
Phone (704) 276-1117
Other providers in Vale, NC
- Trina L. Beighley
- Wanda Renee Brackett
- Shannon Elizabeth Carpenter
- Community Pharmacy of Vale LLC
- Community Pharmacy of Vale LLC
All providers in Vale, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2010. 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.