MEDICARE: ANGELA RINGO PLPC

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	8160	LA
2	171M00000X	Case Manager/Care Coordinator	8160	LA

General Provider Information

NPI Number	:	1891166872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA RINGO PLPC

Provider Business Mailing Address
First Line	:	6224 LACA ST
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-1403
Country	:	US
Telephone Number	:	225-368-7402
Fax Number	:

Provider Business Practice Location Address
First Line	:	3004 KNIGHT ST STE 149
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-2502
Country	:	US
Telephone Number	:	318-227-8390
Fax Number	:	318-429-2414

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

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	07/03/2024

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