MEDICARE: ANGEL THERAPY, LLC

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	MH12979	FL

General Provider Information

NPI Number	:	1437684438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL THERAPY, LLC

Provider Business Mailing Address
First Line	:	7203 PINE FOREST RD
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32526-3908
Country	:	US
Telephone Number	:	850-619-3230
Fax Number	:

Provider Business Practice Location Address
First Line	:	5126 TERRA LAKE CIR
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32507-9092
Country	:	US
Telephone Number	:	850-619-3230
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ANGELIQUE M AUSTIN
Credential	:	LMHC
Telephone Number	:	850-619-3230

Provider Enumeration Date	:	04/27/2017
Last Update Date	:	04/27/2017

Similar Medicare Providers

1427270933 — MRS. PATRINA BROOKS HELTON
Practice Location Address:

6521 BELLVIEW PINES RD
PENSACOLA, FL
32526-9092

Practice Phone: 850-941-1388
Practice Fax:

1487659843 — MARTIN IRA PERLMUTTER M.D.
Practice Location Address:

12591 SORRENTO RD , SUITE B
PENSACOLA, FL
32507-8754

Practice Phone: 850-497-0711
Practice Fax: 850-497-0733

1598760191 — DR. DAVID S EMERSON M.D.
Practice Location Address:

790 VETERANS WAY
PENSACOLA, FL
32507-1000

Practice Phone: 850-912-2000
Practice Fax:

1083612436 — DR. MARIE S NELSON DPM
Practice Location Address:

790 VETERANS WAY
PENSACOLA, FL
32507

Practice Phone: 850-912-2277
Practice Fax: 850-912-2497

1356343040 — DR. ROBERT JAY CARPENTER III D.O.
Practice Location Address:

4051 BARRANCAS AVE , SUITE G, PMB 219
PENSACOLA, FL
32507-3492

Practice Phone: 850-723-9068
Practice Fax: 888-217-1652

1760478309 — SHARON BERRY LCSW
Practice Location Address:

790 VETERANS WAY
PENSACOLA, FL
32507-1000

Practice Phone: 850-912-2000
Practice Fax: 850-912-2269

Directions to “ANGEL THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.