| Organization Name: | ANGEL WORKS, PEDIATRIC AND ADULT COUNSELING |
| NPI Number: | 1184051930 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEISHA C ANGEL (OWNER) |
| Mailing Address: | 406 W Mountain St Kernersville |
| State: | NC US |
| Postal Code: | 272842534 |
| Phone Number: | 3365967970 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2013 |
| NPI Last Update Date: | 10/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 8154 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |