Provider Demographics
NPI:1467022459
Name:NOVAK, ANGELA MARIE (LPC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:NOVAK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5945 W PARKER RD APT 3122
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7766
Mailing Address - Country:US
Mailing Address - Phone:972-742-1693
Mailing Address - Fax:
Practice Address - Street 1:4500 STEINER RANCH BLVD APT 1822
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-2333
Practice Address - Country:US
Practice Address - Phone:512-243-6743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82656101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional