Healthcare Provider Details

I. General information

NPI: 1922479203
Provider Name (Legal Business Name): ANGELA BELLANGER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2015
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1538 LOUISIANA AVE
NEW ORLEANS LA
70115-3553
US

IV. Provider business mailing address

2051 8TH ST
HARVEY LA
70058-4001
US

V. Phone/Fax

Practice location:
  • Phone: 504-896-2345
  • Fax: 504-896-2240
Mailing address:
  • Phone: 504-368-1944
  • Fax: 504-252-9450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: