MEDICARE: MRS. ANGELA RENEE EURY-JOHNSON MA, LPC

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	2157	NC
2	101YP2500X	Professional Counselor	2157	NC

General Provider Information

NPI Number	:	1740484377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA RENEE EURY-JOHNSON MA, LPC

Provider Business Mailing Address
First Line	:	1020 FIRST COLONIAL RD STE A
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3078
Country	:	US
Telephone Number	:	757-395-5342
Fax Number	:	757-222-5095

Provider Business Practice Location Address
First Line	:	1020 FIRST COLONIAL RD STE A
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3078
Country	:	US
Telephone Number	:	757-395-5342
Fax Number	:	757-222-5095

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

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	04/20/2026

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