Coulter, Angela K
Coulter, Angela K is an sole proprietor health care provider with primary practice located at 3814 S. Cox Ave. , Springfield MO 65807. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coulter, Angela K can be contacted via phone (417) 766-5566.Contact Information
Primary practice address
3814 S. Cox Ave.
Springfield MO 65807
Phone: (417) 766-5566
Fax: (417) 269-7212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2002019366 | Missouri |
Profile Details
| NPI number | 1235135153 |
|---|---|
| LBN Legal business name | Coulter, Angela K |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Mar 14th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235135153 | NPPES |
| Missouri | MEDICAID | 495979205 |
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