ANDREA LYN TUCKER (NPI# 1215593579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215593579 |
Entity Type | Individual |
Full Name | ANDREA LYN TUCKER |
Credential | LLPC |
Practice Address |
25 S Monroe St Ste 205 Monroe MI 48161-2469 |
Mailing Address |
15945 Canal Rd Clinton Twp MI 48038-1610 |
Practice Telephone | 7342403850 |
Mailing Telephone | 5864162300 |
Mailing Fax Number | 5864162311 |
Enumeration Date | 2019-05-13 |
Last Update Date | 2019-05-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
SA0580017 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508473455 | Andrea Tucker | Behavior Technician | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2020-09-24 |
1154558617 | Andrea Michelle Tucker | Obstetrics & Gynecology | 225 Hospital Dr, Bldg B, Ste 255, Winchester, KY 40391-7676 | 2009-06-11 |
Street Address |
25 S MONROE ST STE 205 |
City | MONROE |
State | MI |
Zip Code | 48161-2469 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902157837 | Crystal Marie Martin | Counselor | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2012-10-02 |
1033755483 | Lynne M Fogle | Social Worker | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2019-11-20 |
1871075200 | Alan Gregory Sides | Counselor | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2018-09-01 |
1346733227 | Ellen Renee Ivey | Social Worker | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2018-06-14 |
1720579253 | Jill Frederick | Social Worker | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2018-05-21 |
1649796988 | Colleen Mcknight | Counselor | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2017-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164980967 | James Abrams | Behavior Technician | 2086 South Custer Road, Monroe, MI 48161 | 2019-03-11 |
1457841504 | Teresa Anne Clark-jones | Health Educator | Msu Extension Monroe County, 963 S. Raisinville Rd., Monroe, MI 48161 | 2018-05-15 |
1174045215 | Ariane E Combs | Counselor | 25 S. Monroe Street, Suite 205, Monroe, MI 48161 | 2017-07-11 |
1518341650 | Jennifer Statler | Physical Therapist | 1380 Lake Dr, Unit B, Monroe, MI 48161 | 2015-07-18 |
1811376742 | Rainbow Center of Michigan, Inc | Community/Behavioral Health | 14733 S. Telegraph Rd, Monroe, MI 48161 | 2015-05-26 |
1356743371 | Samantha Rose Dehring | Counselor | Recovery Zone Counseling, Pllc, 49 South Monroe St. (suite# 175), Monroe, MI 48161 | 2014-09-22 |
1598105074 | Busharat Ahmad | Ophthalmology | 774 Windsor Court, Monroe, MI 48161 | 2013-06-28 |
1225371032 | Anissa Castelluzzo | Nurse Practitioner | 975 S Monroe St Ste C, Monroe, MI 48161 | 2013-03-29 |
1811256274 | Paul Mikels Lmsw LLC | Social Worker | 986 S. Telegraph Rd, Monroe, MI 48161 | 2012-05-04 |
1225306798 | Paula Stanifer | Counselor | 14930 Laplaisance Rd #123, Monroe, MI 48161 | 2011-12-12 |
Find all providers in zip 48161 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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1982224457 | Michelle D Jones | Counselor | 1410 Jackson St, Monroe, LA 71202-2026 | 2020-04-24 |
1639702533 | Carissa Alexandra Sawyer | Counselor | 1401 Erin St, Monroe, LA 71201-4800 | 2020-02-19 |
1992342158 | Treasure Briggs | Counselor | 303 Colorado Dr, Monroe, LA 71203-7359 | 2019-12-06 |
1922644541 | Peaceful Soul Counseling and Group Therapy, Pllc | Counselor | 1501 N Charlotte Ave Ste B-127, Monroe, NC 28110-2525 | 2019-11-19 |
1407407182 | Ascension Therapeutic Services Inc | Counselor | 1736 Dickerson Blvd Ste 143, Monroe, NC 28110-2832 | 2019-09-24 |
1174182083 | Janna Carroll | Counselor | 1812 Glenmar Ave Ste C, Monroe, LA 71201-4974 | 2019-06-13 |
1184289704 | Rosa Maria De Prado Gonzalez | Counselor | 115 W Main St Ste 213, Monroe, WA 98272-1809 | 2019-05-08 |
1316408693 | Therapeutic Transformation, LLC | Counselor | 700 University Ave # 105, Monroe, LA 71209-9000 | 2019-03-28 |
1740754761 | Teia Anqwanette Coleman | Counselor | 1903 Stoney Point Cir, Monroe, NC 28112-5276 | 2019-01-12 |
Find all providers in MONROE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.