Provider Demographics
NPI:1679111868
Name:ANDREWS, SHAWANDA
Entity Type:Individual
Prefix:MISS
First Name:SHAWANDA
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4362 MIDMOST DR STE G
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5513
Mailing Address - Country:US
Mailing Address - Phone:251-414-3599
Mailing Address - Fax:251-217-4624
Practice Address - Street 1:4362 MIDMOST DR STE G
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5513
Practice Address - Country:US
Practice Address - Phone:251-414-3599
Practice Address - Fax:251-217-4624
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor