Healthcare Provider Details

I. General information

NPI: 1528962594
Provider Name (Legal Business Name): ANGELA HAICK, LMFT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1842 LAS RAMBLAS DR
CONCORD CA
94521-2454
US

IV. Provider business mailing address

5433 CLAYTON RD STE K242
CLAYTON CA
94517-1089
US

V. Phone/Fax

Practice location:
  • Phone: 925-587-8130
  • Fax: 925-223-5930
Mailing address:
  • Phone: 925-587-8130
  • Fax: 925-223-5930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ANGELA HAICK
Title or Position: OWNER
Credential: ED.D,MA,LMFT
Phone: 925-587-8130