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

Individual provider Professional Counselor · NPI 1083989495

Angie M Church, LCMHC is a Mental Health Counselor in North Wilkesboro, North Carolina. Qualified in 1999, 27 years ago. Practices with Carenet Inc, a 39-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
27
Licensed in
NC
In the registry since
2012
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Practice location Address checks out

204 Jefferson St Ste 106
North Wilkesboro, NC 28659-3586
Phone: (336) 838-1644
Fax: (336) 667-7720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 9140 (NC)

Record details

NPI number1083989495
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorYes
NPI enumeratedMarch 19, 2012
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Carenet Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Wilkesboro