Provider Demographics
NPI:1720895345
Name:HOANG, ANGELINE QUYNH-NHI
Entity type:Individual
Prefix:
First Name:ANGELINE
Middle Name:QUYNH-NHI
Last Name:HOANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19220 CARSEN GRACE CT APT 101
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-5064
Mailing Address - Country:US
Mailing Address - Phone:714-673-5030
Mailing Address - Fax:
Practice Address - Street 1:54 MYRTLE ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-5200
Practice Address - Country:US
Practice Address - Phone:704-954-8959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician