Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelica Rose Theophile, BEHAVIORALSUPPORT

Individual provider Counselor · NPI 1508688235

Angelica Rose Theophile, BEHAVIORALSUPPORT is a Counselor in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024

Practice location Address checks out

3910 W Indian Trail Rd
Spokane, WA 99208-4739
Phone: (509) 559-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG61626158 (WA)

Record details

NPI number1508688235
Entity typeIndividual (Type 1)
GenderFemale
Credentials BEHAVIORALSUPPORT
Sole proprietorNo
NPI enumeratedOctober 24, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

Other providers in Spokane