Doctor Name: | MRS. ANGEL M HOODYE |
NPI Number: | 1437579265 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | 68439 |
Business Practice Address: | 635 E King Ave Suite 104 Kingsville, TX - 783635701 |
Business Phone Number: | 3613555558 |
Business Fax Number: | |
Mailing Address: | 635 E. King Ave, Room 104 KINGSVILLE |
State: | TX |
Postal Code: | 78363 |
Phone Number: | 3613555558 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2014 |
NPI Last Update Date: | 07/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 68439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |