ANGELA KAY LANDRUM


Address: 416 Elmshaven Dr, Lansing, MI 48917-3513
Phone: 5178982513

ANGELA KAY LANDRUM (NPI# 1518232248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518232248
Entity Type Individual
Full Name ANGELA KAY LANDRUM
Credential LLPC
Practice Address 416 Elmshaven Dr
Lansing
MI 48917-3513
Mailing Address Po Box 1254
East Lansing
MI 48826-1254
Practice Telephone 5178982513
Mailing Telephone 5178982513
Enumeration Date 2012-03-13
Last Update Date 2012-03-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6401012844 MI Behavioral Health & Social Service Providers

Office Location

Street Address 416 ELMSHAVEN DR
City LANSING
State MI
Zip Code 48917-3513

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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City LANSING
Zip Code 48917

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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