Provider Demographics
NPI:1083654909
Name:MIZE, ANDREW N (LMHC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:N
Last Name:MIZE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2194 AIA
Mailing Address - Street 2:STE 203
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4931
Mailing Address - Country:US
Mailing Address - Phone:321-777-8930
Mailing Address - Fax:321-773-5479
Practice Address - Street 1:2194 AIA
Practice Address - Street 2:STE 203
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-4931
Practice Address - Country:US
Practice Address - Phone:321-777-8930
Practice Address - Fax:321-773-5479
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health