Healthcare Provider Details

I. General information

NPI: 1609117142
Provider Name (Legal Business Name): ANGELA MARIE WELTON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA MARIE STITT

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S CANTON CENTER RD STE 210
CANTON MI
48188-6276
US

IV. Provider business mailing address

1600 S CANTON CENTER RD STE 210
CANTON MI
48188-6276
US

V. Phone/Fax

Practice location:
  • Phone: 734-213-3680
  • Fax: 734-213-3681
Mailing address:
  • Phone: 734-747-6766
  • Fax: 734-222-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401012498
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: