Provider Demographics
NPI:1154534725
Name:THAPA, ANGELA (BS)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:THAPA
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 WINDCHASE BLVD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-4865
Mailing Address - Country:US
Mailing Address - Phone:585-797-5638
Mailing Address - Fax:
Practice Address - Street 1:3590 N HIGHWAY 17/92
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-4510
Practice Address - Country:US
Practice Address - Phone:407-321-7015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor