National Provider Identifier Database

ANGELA L BODE, LPC, MAC, CAADC – NPI #1043716509
Professional


Contact Information

ANGELA L BODE, LPC, MAC, CAADC
559 AMSTERDAM AVE NE FRNT APT
ATLANTA, GA30306-3416
Phone: 770-695-9822
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Addiction (Substance Use Disorder) 101YA0400X

* Indicates primary specialty

NPI Profile & details for ANGELA L BODE

NPI Number 1043716509
Credentials LPC, MAC, CAADC
Entity Individual
Enumeration date 04/03/2018
Last updated 04/10/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: 010069
  • GA License #: C0209
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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