Healthcare Provider Details

I. General information

NPI: 1184073488
Provider Name (Legal Business Name): ANGELA RENEE NLEMCHI LPCC, LICDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA RENEE JONES LPCC, LICDC

II. Dates (important events)

Enumeration Date: 06/07/2016
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 N HIGH ST STE A
HILLSBORO OH
45133-1163
US

IV. Provider business mailing address

129 N HIGH ST STE A
HILLSBORO OH
45133-1163
US

V. Phone/Fax

Practice location:
  • Phone: 937-509-2459
  • Fax:
Mailing address:
  • Phone: 937-509-2459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2404402
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLICDC.161579
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: