Lisa Marie Andrus, RMFTI
Individual provider Active NPI Mental Health Counselor · Okeechobee, FL
NPI 1073282000 · NPPES record last updated Sep 13, 2021
Key facts
- NPI
- 1073282000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 304 NW 5TH St Apt F7
Okeechobee, FL 34972-2565 - Phone
- (863) 357-8268
- NPI assigned
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Behavioral Health Center Inc | Current |
Accepting new patients | |
| Legacy Behavioral Health Center Inc | Current |
Accepting new patients |
Locations
304 NW 5th St
Okeechobee, FL 34972
Phone (863) 357-8268
304 NW 5th St
Apt F7
Okeechobee, FL 34972
Phone (863) 357-8268
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
304 NW 5TH St Apt F7
Okeechobee, FL 34972-2565
Mailing address
304 NW 5TH St
Okeechobee, FL 34972-2565
Phone (863) 357-8268
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All providers in Okeechobee, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.