Angelos, Dwyla J

Angelos, Dwyla J is an sole proprietor health care provider with primary practice located at 1613 Blue Hill Ave. Priority Professional Care Suite 302, Mattapan MA 02126. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Angelos, Dwyla J can be contacted via phone (857) 598-4774.

Contact Information

Primary practice address
1613 Blue Hill Ave. Priority Professional Care Suite 302 Mattapan MA 02126
Phone: (857) 598-4774
Fax: (857) 598-4816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 603 Massachusetts
Behavioral Health & Social Service Providers / Professional 101YP2500X LMHC 603 Massachusetts

Profile Details

NPI number 1023171998
LBN Legal business name Angelos, Dwyla J
Credentials MA, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Sep 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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