Provider Demographics
NPI:1437258225
Name:ANDREWS, JOSEPHINE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:JOSEPHINE
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 DEER RUN N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3550
Mailing Address - Country:US
Mailing Address - Phone:727-455-7959
Mailing Address - Fax:727-841-0043
Practice Address - Street 1:3780 TAMPA RD
Practice Address - Street 2:SUITE 115
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3041
Practice Address - Country:US
Practice Address - Phone:727-455-7959
Practice Address - Fax:727-841-0043
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5672101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC109933OtherAMERIGROUP
FL477925OtherVALUE OPTIONS