| Doctor Name: | ANGELA NICOLE EADES |
| NPI Number: | 1235473679 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904007227 |
| Business Practice Address: | 1113 Cedar Valley Drive Cedar Bluff, VA - 246094253 |
| Business Phone Number: | 2769630111 |
| Business Fax Number: | 2769630005 |
| Mailing Address: | Po Box 426, CEDAR BLUFF |
| State: | VA |
| Postal Code: | 246090426 |
| Phone Number: | 2769630111 |
| Fax Number: | 2769630005 |
| NPI Enumeration Date: | 11/26/2012 |
| NPI Last Update Date: | 12/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904007227 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |