Healthcare Provider Details
I. General information
NPI: 1861306086
Provider Name (Legal Business Name): ANGELIER COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1317 W TOWNE SQUARE RD
MEQUON WI
53092-5017
US
IV. Provider business mailing address
1317 W TOWNE SQUARE RD
MEQUON WI
53092-5017
US
V. Phone/Fax
- Phone: 414-436-3583
- Fax:
- Phone: 414-436-3583
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
SOPHIA
ANGELIER
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: MS, LPC
Phone: 414-436-3583