Provider Demographics
NPI:1912271438
Name:WEINER, ANDREA BETH (CRC, LPC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:BETH
Last Name:WEINER
Suffix:
Gender:F
Credentials:CRC, LPC
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:BETH
Other - Last Name:RABINOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5985 S LEWISTON ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80016-3087
Mailing Address - Country:US
Mailing Address - Phone:954-646-9134
Mailing Address - Fax:
Practice Address - Street 1:7180 E ORCHARD RD FL 3
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-1724
Practice Address - Country:US
Practice Address - Phone:954-646-9134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker