Angel House Bereavement Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ANGEL HOUSE BEREAVEMENT CENTER

Practice address

1015 Grace Ave
Unit C
Panama City, FL 32401-2494

Phone

(850) 257-5036

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Sowell Montford, LCSW

Title

President and Executive Director

Phone

(850) 257-5036

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1821476888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 GRACE AVE",
            "address_2": "UNIT C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012494",
            "telephone_number": "850-257-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 GRACE AVE",
            "address_2": "UNIT C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012494",
            "telephone_number": "850-257-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOUSE BEREAVEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "MONTFORD",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "SOWELL",
        "authorized_official_title_or_position": "PRESIDENT AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-257-5036",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Panama City, FL
• Providers in Panama City, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.