Angel Fazio, is a
Counselor - Mental Health based in Imperial, Pennsylvania. Angel Fazio is licensed to practice in Pennsylvania (license number PC020441) and her current practice location is
307 Walden Way, Imperial, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(724) 263-3920.
NPI number for Angel Fazio is 1164957775 and her current mailing address is 307 Walden Way, Imperial, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164957775.
Healthcare Provider's Profile
| Full Name | Angel Fazio |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 307 Walden Way, Imperial, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164957775
- Provider Enumeration Date: 04/21/2017
- Last Update Date: 06/18/2026
Medical Identifiers
Medical identifiers for Angel Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164957775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | PC020441 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angel Fazio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Angel Fazio, 307 Walden Way, Imperial, PA 15126-9639 Ph: (724) 263-3920 | Angel Fazio, 307 Walden Way, Imperial, PA 15126-9639 Ph: (724) 263-3920 |
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