1033409966 NPI number — REMI CARRICK ANDREWS LMFT, RPT

Table of content: REMI CARRICK ANDREWS LMFT, RPT (NPI 1033409966)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033409966 NPI number — REMI CARRICK ANDREWS LMFT, RPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ANDREWS
Provider First Name:
REMI
Provider Middle Name:
CARRICK
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT, RPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ANDREWS
Provider Other First Name:
REBEKAH
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1033409966
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/28/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1652 42ND ST NE STE A2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CEDAR RAPIDS
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52402-3075
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-435-1693
Provider Business Mailing Address Fax Number:
319-435-1693

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1652 42ND ST NE STE A2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CEDAR RAPIDS
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52402-3075
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-435-1693
Provider Business Practice Location Address Fax Number:
319-435-1693
Provider Enumeration Date:
04/12/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  000422 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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