MEDICARE: ANGELE SHROPSHIRE 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	101Y00000X	Counselor	LPC013138	GA
2	101YM0800X	Mental Health Counselor	LPC013138	GA
3	101YP2500X	Professional Counselor	LPC013138	GA

General Provider Information

NPI Number	:	1952768632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELE SHROPSHIRE LPC

Provider Business Mailing Address
First Line	:	5522 VILLAGE TRCE
Second Line	:
City	:	UNION CITY
State	:	GA
Zip	:	30291-5155
Country	:	US
Telephone Number	:	404-889-0686
Fax Number	:

Provider Business Practice Location Address
First Line	:	5522 VILLAGE TRCE
Second Line	:
City	:	UNION CITY
State	:	GA
Zip	:	30291-5155
Country	:	US
Telephone Number	:	404-889-0686
Fax Number	:

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

Provider Enumeration Date	:	01/26/2016
Last Update Date	:	05/13/2024

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Directions to “ ANGELE SHROPSHIRE LPC” Practice Location

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