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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235135153 NPPES
Missouri MEDICAID 495979205

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