Provider Demographics
NPI:1164577623
Name:ANDREWS, CATHERINE M (MS, LMHP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:M
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MS, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8715 OAK ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3051
Mailing Address - Country:US
Mailing Address - Phone:402-333-0898
Mailing Address - Fax:402-333-0988
Practice Address - Street 1:8715 OAK ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3051
Practice Address - Country:US
Practice Address - Phone:402-333-0898
Practice Address - Fax:402-333-0988
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3086101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47076510700Medicaid