ANGELA SUE BANLEY MA, LPC, QMHP - NPI 1831731868

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Angela Sue Banley Ma, Lpc, Qmhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA SUE BANLEY MA, LPC, QMHP (NPI 1831731868) is an individual professional provider in Rapid City, South Dakota, licensed in South Dakota (LPC7256) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1831731868

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameANGELA SUE BANLEYCredential: MA, LPC, QMHP

Location Address529 KANSAS CITY ST STE 100Rapid City, SD 57701-3798

Mailing Address529 Kansas City St Ste 100Rapid City, SD 57701-3798 · (605) 348-6086 · Fax (605) 348-1050

Phone(605) 348-6086

Fax(605) 348-1050

Sole ProprietorNo

Enumeration DateOctober 10, 2019

Last NPPES UpdateApril 21, 20212 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1831731868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in SD · LPC7256

529 KANSAS CITY ST STE 100, Rapid City, SD 57701

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NORA CHRISTINA BOESEM MSW, CSW, QMHP

Social Worker (Clinical)