MEDICARE: ANDREWS COUNSELING

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	1041C0700X	Clinical Social Worker	345396-3501	UT

General Provider Information

NPI Number	:	1700362944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREWS COUNSELING

Provider Business Mailing Address
First Line	:	1490 E CREEKVIEW CV
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-4767
Country	:	US
Telephone Number	:	801-201-0428
Fax Number	:

Provider Business Practice Location Address
First Line	:	8160 S HIGHLAND DR STE 203
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84093-7403
Country	:	US
Telephone Number	:	801-201-0428
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TONYA BAKER MILLER
Credential	:	LCSW
Telephone Number	:	801-642-6421

Provider Enumeration Date	:	07/11/2018
Last Update Date	:	08/04/2022

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