MRS. ANDREA R. BOHANNON (NPI# 1760671218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760671218 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA R. BOHANNON |
| Other Name | MISS ANDREA R. RICE |
| Credential | M.A., L.P.C. |
| Practice Address |
330 N Gore Ave Saint Louis MO 63119 |
| Mailing Address |
330 N Gore Ave Saint Louis MO 63119-1600 |
| Practice Telephone | 3149194700 |
| Mailing Telephone | 3149194700 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2018-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
L204052020 | MO | Behavioral Health & Social Service Providers |
| Street Address |
330 N GORE AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750486387 | Joseph Norbert Beck | Social Worker | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2006-09-14 |
| 1720689326 | Sydney Tramaine Washington | Counselor | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2020-11-02 |
| 1083228795 | Aquila Rives | Counselor | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2020-09-01 |
| 1902417108 | Michael Patrick Meehan | Psychologist | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2020-08-11 |
| 1255963211 | Ruth Marie Caputo | Speech-Language Pathologist | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2020-02-07 |
| 1215577382 | Brooke Blythe | Counselor | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2020-01-07 |
| 1679112973 | Rachel Ruth Kloppe | Counselor | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2020-01-03 |
| 1932745924 | Marissa Joy Mcvicar | Behavioral Analyst | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2019-11-25 |
| 1538705702 | Patricia Fleischmann | Behavioral Analyst | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2019-11-22 |
| 1588214274 | Michelle Moore | Counselor | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2019-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811428451 | Ellen Dunne | Social Worker | 125 Pebble Acres Ct, Saint Louis, MO 63141-8030 | 2017-03-24 |
| 1073052213 | Gayle Giancola | Social Worker | 9100 Saint Charles Rock Rd, Saint Louis, MO 63114-4241 | 2017-02-21 |
| 1609315332 | Alicia Firman | Social Worker | 11011 Golf Crest Dr, Saint Louis, MO 63126-3419 | 2017-02-14 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1851769475 | Debbie Busche | Social Worker | 12112 Clayton Rd, Saint Louis, MO 63131-2516 | 2015-09-14 |
| 1194193011 | Pamela Miller | Social Worker | 8309 Mackenzie Rd, Saint Louis, MO 63123-3455 | 2015-09-09 |
| 1922476217 | Bryan Curtis Kohring | Social Worker | 4530 Weber Rd, Saint Louis, MO 63123-5722 | 2015-09-03 |
| 1114537503 | Myesha Tanai Thomas | Social Worker | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2020-07-31 |
| 1922633734 | Anna Waddell | Social Worker | 4471 Olive St, Saint Louis, MO 63108-1807 | 2020-03-12 |
| 1922648591 | Catherine Ann Terbrock | Social Worker | 1430 Olive St Ste 500, Saint Louis, MO 63103-2377 | 2020-01-13 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63119 |
Please comment or provide details below to improve the information on MRS. ANDREA R. BOHANNON.
| 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.