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

Angelique Lasha Mathis

Individual provider Adult Companion · NPI 1457177644

Angelique Lasha Mathis is an Adult Companion in Berrien Center, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

9556 Pucker St
Berrien Center, MI 49102-9717
Phone: (269) 635-3769
Fax: (269) 213-3303
Show map & directions

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

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X · Licence AS1110418243 (MI)

Record details

NPI number1457177644
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address9556 Pucker St, Berrien Center, MI 49102-9717