Provider Demographics
NPI:1700561099
Name:HAYGOOD, ANDREA (MS, PLPC, NCC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:HAYGOOD
Suffix:
Gender:F
Credentials:MS, PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-9286
Mailing Address - Country:US
Mailing Address - Phone:501-438-3945
Mailing Address - Fax:
Practice Address - Street 1:2049 S BRENTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-2536
Practice Address - Country:US
Practice Address - Phone:417-881-2444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health