MEDICARE: ANDREW SANTI L.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	63185	TX

General Provider Information

NPI Number	:	1255659736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW SANTI L.P.C.

Provider Business Mailing Address
First Line	:	1208 W MAGNOLIA AVE STE 236
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-8801
Country	:	US
Telephone Number	:	817-380-8833
Fax Number	:

Provider Business Practice Location Address
First Line	:	1208 W MAGNOLIA AVE STE 236
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-8801
Country	:	US
Telephone Number	:	817-380-8833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2010
Last Update Date	:	03/14/2019

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Directions to “ ANDREW SANTI L.P.C.” Practice Location

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