Andreza Love Anderson, MS
Individual provider Active NPI Mental Health Counselor · Rockledge, FL
NPI 1447087085 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1447087085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- IMH26371 (FL)
- Practice address
- 1802 S Fiske Blvd Ste 201
Rockledge, FL 32955-3007 - Phone
- (321) 446-2113
- NPI assigned
- Sep 17, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH26371 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH26371 | FL | Yes |
Addresses
Primary practice location
1802 S Fiske Blvd Ste 201
Rockledge, FL 32955-3007
Mailing address
2205 Mayfair Way Apt 206
Titusville, FL 32796-2045
Phone (321) 362-9515
Other providers in Rockledge, FL
- Elyse Brooke Amigo
- Vijaykumar C Amin
- Sherry R Amos
- Amsurg Rockledge FL Anesthesia LLC
- Anba Karas LLC
- Brooke Anderson
- Andrew Tobkes MD PA
- Deepika Aneja
- Anesthesia Professional Services of Brevard LLC
- Maria Fernanda Angee
All providers in Rockledge, 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 17, 2024. 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.