Provider Demographics
NPI:1619540150
Name:ANDREWS, MONICA ROSE (LPC, ATR)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:ROSE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-5231
Mailing Address - Country:US
Mailing Address - Phone:314-570-3807
Mailing Address - Fax:
Practice Address - Street 1:108 N CLAY AVE
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-4265
Practice Address - Country:US
Practice Address - Phone:314-570-3807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-22
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012022791101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional