Provider Demographics
NPI:1033409966
Name:ANDREWS, REMI CARRICK (LMFT, RPT)
Entity Type:Individual
Prefix:
First Name:REMI
Middle Name:CARRICK
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LMFT, RPT
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:LYNN
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1652 42ND ST NE STE A2
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3075
Mailing Address - Country:US
Mailing Address - Phone:319-435-1693
Mailing Address - Fax:319-435-1693
Practice Address - Street 1:1652 42ND ST NE STE A2
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3075
Practice Address - Country:US
Practice Address - Phone:319-435-1693
Practice Address - Fax:319-435-1693
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000422106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty