Provider Demographics
NPI:1326840653
Name:NEWELL, ANGELA MAY
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MAY
Last Name:NEWELL
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 1:500 N SCENIC HWY
Mailing Address - Street 2:
Mailing Address - City:LAKE WALES
Mailing Address - State:FL
Mailing Address - Zip Code:33853-3204
Mailing Address - Country:US
Mailing Address - Phone:863-632-1105
Mailing Address - Fax:
Practice Address - Street 1:500 N SCENIC HWY
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853-3204
Practice Address - Country:US
Practice Address - Phone:863-632-1105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health