MEDICARE: ANGEL LYNN DEVOE MS, EDS, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH 8824	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	80020	OTHER	NC	NATIONAL CERTIFIED COUNSELOR
2	MH 8824	OTHER		FLORIDA DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1073774907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGEL LYNN DEVOE MS, EDS, LMHC

Provider Business Mailing Address
First Line	:	12360 66TH ST
Second Line	:	SUITE 770
City	:	LARGO
State	:	FL
Zip	:	33773-3434
Country	:	US
Telephone Number	:	727-421-6826
Fax Number	:

Provider Business Practice Location Address
First Line	:	12360 66TH ST
Second Line	:	SUITE 770
City	:	LARGO
State	:	FL
Zip	:	33773-3434
Country	:	US
Telephone Number	:	727-421-6826
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2008
Last Update Date	:	12/12/2022

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