Thorpe, Andrea Renee
Thorpe, Andrea Renee is an sole proprietor health care provider with primary practice located at 640 Old Back River Road , Goose Creek SC 29445-1049. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Thorpe, Andrea Renee can be contacted via phone (623) 628-0714.Contact Information
Primary practice address
640 Old Back River Road
Goose Creek SC 29445-1049
Phone: (623) 628-0714
Fax: (843) 297-4456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 12064 | South Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 508240 | South Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C0160 | Georgia |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MAC 508240 | Georgia |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MAC 508240 | Arizona |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW005041 | Georgia |
Profile Details
| NPI number | 1467522979 |
|---|---|
| LBN Legal business name | Thorpe, Andrea Renee |
| Credentials | LCSW, MAC, ICAADC, |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Mar 16th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467522979 | NPPES |
| Other | Z187469 | MEDICARE - STATE AZ |
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