Provider Demographics
NPI:1306125943
Name:ANGER MANAGEMENT ASSOCIATES
Entity type:Organization
Organization Name:ANGER MANAGEMENT ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:636-724-6880
Mailing Address - Street 1:1475 FAIRGROUNDS RD
Mailing Address - Street 2:SUITE 128
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2468
Mailing Address - Country:US
Mailing Address - Phone:636-724-6880
Mailing Address - Fax:636-724-6933
Practice Address - Street 1:1475 FAIRGROUNDS RD
Practice Address - Street 2:SUITE 128
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2468
Practice Address - Country:US
Practice Address - Phone:636-724-6880
Practice Address - Fax:636-724-6933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-14
Last Update Date:2011-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty