Provider Demographics
NPI:1225826076
Name:ANGELES, ANTHONY ALVEZ
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:ALVEZ
Last Name:ANGELES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13950 LUGANO CT
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34669-1280
Mailing Address - Country:US
Mailing Address - Phone:813-504-2338
Mailing Address - Fax:
Practice Address - Street 1:1101 W 40TH ST UNIT 2225
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37409-1379
Practice Address - Country:US
Practice Address - Phone:813-504-2338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor