Andraya Lynn Przekora
Individual provider Active NPI Professional Counselor · Charter Township of Clinton, MI
NPI 1750767752 · NPPES record last updated Aug 6, 2015
Key facts
- NPI
- 1750767752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401014940 (MI)
- Practice address
- 17719 Barry St
Charter Township of Clinton, MI 48038 - Phone
- (586) 482-6077
- NPI assigned
- Aug 3, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401014940 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth and Associates PC | Current |
Accepting new patients |
Locations
11111 Hall Rd
Ste 303
Utica, MI 48317
Phone (586) 739-0902
11111 Hall Rd
Ste 300
Utica, MI 48317
Phone (586) 323-2181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401014940 | MI | Yes |
Addresses
Primary practice location
17719 Barry St
Charter Township of Clinton, MI 48038
Mailing address
17719 Barry St
Charter Township of Clinton, MI 48038
Phone (586) 482-6077
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.