Healthcare Provider Details

I. General information

NPI: 1457996100
Provider Name (Legal Business Name): ANGELINA PAPAZOVA LPC, CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2019
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 PINE RIDGE RD STE 101
NAPLES FL
34109-3926
US

IV. Provider business mailing address

3443 PINE RIDGE RD STE 101
NAPLES FL
34109-3926
US

V. Phone/Fax

Practice location:
  • Phone: 239-427-1833
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH25502
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.014711
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: