Healthcare Provider Details

I. General information

NPI: 1285092023
Provider Name (Legal Business Name): ANGELA LOZANOFF MS, LPC, LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2016
Last Update Date: 04/17/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9187 DEVAUN PARK BLVD SW
CALABASH NC
28467-3072
US

IV. Provider business mailing address

9187 DEVAUN PARK BLVD SW
CALABASH NC
28467-3072
US

V. Phone/Fax

Practice location:
  • Phone: 907-982-9060
  • Fax:
Mailing address:
  • Phone: 907-982-9060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number534
License Number StateAK
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number184010
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: