Andrews, Misty L

Andrews, Misty L is an individual health care provider with primary practice located at 114 Savannah Ave , Statesboro GA 30458. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Andrews, Misty L can be contacted via phone (706) 913-0340.

Contact Information

Primary practice address
114 Savannah Ave Statesboro GA 30458
Phone: (706) 913-0340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC010497 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1104 Kentucky

Profile Details

NPI number 1518277482
LBN Legal business name Andrews, Misty L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2010
Last updated May 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518277482 NPPES
Kentucky MEDICAID 30608012

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