Angela Marvel | Springfield, IL • PECOS Search

Angela Marvel

Counselor

Behavioral Health & Social Service Providers

2413 Glencoe St, Springfield, IL 62704-6588

PECOS Enrollment

Based on the most recent information from CMS, provider Angela Marvel does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1295945061
Provider Type
Individual
Full Name
Marvel, Angela
Title
Mrs.
Credential
LCPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/23/2007
Last Updated
8/13/2013

Contact Information

Practice Location

2413 Glencoe St, Springfield, IL 62704-6588

Unlisted Fax

Mailing Location

2413 Glencoe St, Springfield, IL 62704-6588

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 180001060 Illinois