Mouse, Angela A
Mouse, Angela A is an individual health care provider with primary practice located at 100 Peyton Way , Charleston WV 25314. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mouse, Angela A can be contacted via phone (304) 720-8466.Contact Information
Primary practice address
100 Peyton Way
Charleston WV 25314
Phone: (304) 720-8466
Fax: (304) 720-8463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | DP00080368 | West Virginia |
Profile Details
| NPI number | 1639108558 |
|---|---|
| LBN Legal business name | Mouse, Angela A |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1639108558 | NPPES |
| West Virginia | Other | DP00080368 | WV SOCIAL WORK LICENSE |
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