Healthcare Provider Details

I. General information

NPI: 1710823166
Provider Name (Legal Business Name): ANDREA D CONLEY RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 S HOUSTON LAKE RD STE G
WARNER ROBINS GA
31088-9027
US

IV. Provider business mailing address

444 FOREST HILL RD APT 814
MACON GA
31210-4850
US

V. Phone/Fax

Practice location:
  • Phone: 478-333-2498
  • Fax: 478-333-6531
Mailing address:
  • Phone: 478-333-2498
  • Fax: 478-333-6531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: