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NPI Code Detail

MEDICARE: MRS. ANGELE LEROSE SPRATLEY LPC

MEDICARE: MRS. ANGELE LEROSE SPRATLEY LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701007344VA

General Provider Information

NPI Number : 1891182556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELE LEROSE SPRATLEY LPC
Provider Business Mailing Address
First Line : 9142 RICHMOND HWY APT 322
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060
Country : US
Telephone Number : 571-572-0800
Fax Number :
Provider Business Practice Location Address
First Line : 9142 RICHMOND HWY APT 322
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060
Country : US
Telephone Number : 571-572-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2015
Last Update Date : 05/19/2025

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