Provider Demographics
NPI:1659255727
Name:JONES, ANGELA DENISE (LPC015853)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:DENISE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC015853
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:ROYSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30662-2318
Mailing Address - Country:US
Mailing Address - Phone:706-498-6247
Mailing Address - Fax:
Practice Address - Street 1:87 GREEN ST
Practice Address - Street 2:
Practice Address - City:ROYSTON
Practice Address - State:GA
Practice Address - Zip Code:30662-2318
Practice Address - Country:US
Practice Address - Phone:706-498-6247
Practice Address - Fax:706-498-6247
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-02
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC015853101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional