Provider Demographics
NPI:1346717543
Name:ANDREA WELSH LCSW LLC
Entity Type:Organization
Organization Name:ANDREA WELSH LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:WELSH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:618-246-4396
Mailing Address - Street 1:3820 N DENBY AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-6224
Mailing Address - Country:US
Mailing Address - Phone:618-246-4396
Mailing Address - Fax:
Practice Address - Street 1:4929 RIVERWIND POINTE DR
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-6753
Practice Address - Country:US
Practice Address - Phone:812-437-0095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health