Provider Demographics
NPI:1851831564
Name:TRUJILLO, ANDREW (LMSW)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:TRUJILLO
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 S PINEY POINT RD
Mailing Address - Street 2:APT 227
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1442
Mailing Address - Country:US
Mailing Address - Phone:832-570-3137
Mailing Address - Fax:
Practice Address - Street 1:2230 S PINEY POINT RD
Practice Address - Street 2:APT 227
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1442
Practice Address - Country:US
Practice Address - Phone:832-570-3137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55681101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health