Street, Andy

Street, Andy is an individual health care provider with primary practice located at 3001 Scenic Hwy , Gadsden AL 35904-3047. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Street, Andy can be contacted via phone (256) 546-9265.

Contact Information

Primary practice address
3001 Scenic Hwy Gadsden AL 35904-3047
Fax: (256) 549-0376
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2004 Alabama

Profile Details

NPI number 1023019932
LBN Legal business name Street, Andy
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Mar 11th, 2008 - about 16 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 1023019932 NPPES
Alabama Other 2004 LPC

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