Provider Demographics
NPI:1780008664
Name:ANDREWS, JONI (LCDC)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:JONI
Other - Middle Name:
Other - Last Name:BILLINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1631 E 2ND ST
Mailing Address - Street 2:BLDG. A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-4490
Mailing Address - Country:US
Mailing Address - Phone:512-804-3384
Mailing Address - Fax:512-472-5857
Practice Address - Street 1:1430 COLLIER ST
Practice Address - Street 2:BLDG. A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-2911
Practice Address - Country:US
Practice Address - Phone:512-472-4357
Practice Address - Fax:512-703-1394
Is Sole Proprietor?:No
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12390101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12390OtherDEPARTMENT OF STATE HEALTH SERVICES