Provider Demographics
NPI:1083205843
Name:ANDREWS, JYNEL LEVON
Entity Type:Individual
Prefix:MR
First Name:JYNEL
Middle Name:LEVON
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 EL DORADO DRIVE
Mailing Address - Street 2:
Mailing Address - City:PAHOKEE
Mailing Address - State:FL
Mailing Address - Zip Code:33476
Mailing Address - Country:US
Mailing Address - Phone:386-846-1588
Mailing Address - Fax:
Practice Address - Street 1:3030 EL DORADO DRIVE
Practice Address - Street 2:
Practice Address - City:PAHOKEE
Practice Address - State:FL
Practice Address - Zip Code:33476
Practice Address - Country:US
Practice Address - Phone:386-846-1588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health