Provider Demographics
NPI:1457585309
Name:ANDREE, PAULA WILLIAMS (LISW-S)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:WILLIAMS
Last Name:ANDREE
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3966 BROWN PARK DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1164
Mailing Address - Country:US
Mailing Address - Phone:614-850-9800
Mailing Address - Fax:614-850-9816
Practice Address - Street 1:3966 BROWN PARK DR
Practice Address - Street 2:SUITE H
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1164
Practice Address - Country:US
Practice Address - Phone:614-850-9800
Practice Address - Fax:614-850-9816
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-0079321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical