Provider Demographics
NPI:1023991163
Name:ASBELL, ANGELA (CHW, CPLC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:ASBELL
Suffix:
Gender:F
Credentials:CHW, CPLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ASBELL420@GMAIL.COM
Mailing Address - Street 2:19500 BURT RD
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-1983
Mailing Address - Country:US
Mailing Address - Phone:313-758-1638
Mailing Address - Fax:
Practice Address - Street 1:ASBELL420@GMAIL.COM
Practice Address - Street 2:19500 BURT RD
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-1983
Practice Address - Country:US
Practice Address - Phone:313-758-1638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI171400000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171400000XOther Service ProvidersHealth & Wellness Coach