Provider Demographics
NPI:1942792551
Name:NEEB, ANDREA ANASTASIA (LMHC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:ANASTASIA
Last Name:NEEB
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5728 GELDING CT
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-5416
Mailing Address - Country:US
Mailing Address - Phone:561-644-4773
Mailing Address - Fax:
Practice Address - Street 1:5728 GELDING CT
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33449-5416
Practice Address - Country:US
Practice Address - Phone:561-644-4773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7930101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty