Vines, Angela

Vines, Angela is an sole proprietor health care provider with primary practice located at 7613 Stemhart Ln , Hanover MD 21076-2332. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Vines, Angela can be contacted via phone (757) 303-8068.

Contact Information

Primary practice address
7613 Stemhart Ln Hanover MD 21076-2332
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC5695 Maryland

Profile Details

NPI number 1639513807
LBN Legal business name Vines, Angela
Credentials LCPC, NCC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2013
Last updated Mar 22nd, 2024 - about 8 months 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 1639513807 NPPES
Maryland MEDICAID 103121000

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