Provider Demographics
NPI:1316462799
Name:FRANK, ANGELA (LPC, NCC, CAADC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:LPC, NCC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 WEST MAIN STREET
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NORTH EAST
Mailing Address - State:PA
Mailing Address - Zip Code:16428-1333
Mailing Address - Country:US
Mailing Address - Phone:814-347-5018
Mailing Address - Fax:814-347-5186
Practice Address - Street 1:143 W. MAIN ST.
Practice Address - Street 2:SUITE 110
Practice Address - City:NORTH EAST
Practice Address - State:PA
Practice Address - Zip Code:16428-1333
Practice Address - Country:US
Practice Address - Phone:814-347-5018
Practice Address - Fax:814-347-5186
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-07
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA12348101YA0400X
PAPC010131101YM0800X, 101YP2500X, 101YP2500X
OHC.1600810101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1035120970001Medicaid