Provider Demographics
NPI:1821703398
Name:ANDREW, DONZELL (BS)
Entity Type:Individual
Prefix:MR
First Name:DONZELL
Middle Name:
Last Name:ANDREW
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:683 AZALEA DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44143-2834
Mailing Address - Country:US
Mailing Address - Phone:216-256-9318
Mailing Address - Fax:
Practice Address - Street 1:683 AZALEA DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44143-2834
Practice Address - Country:US
Practice Address - Phone:216-256-9318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-19
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor