MEDICARE: ANDREW E. SAID LPC

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	PC007007
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1942480223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW E. SAID LPC

Provider Business Mailing Address
First Line	:	PO BOX 288
Second Line	:
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-0288
Country	:	US
Telephone Number	:	570-620-4311
Fax Number	:	570-620-4332

Provider Business Practice Location Address
First Line	:	105 TERRACE DR STE 102
Second Line	:
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-7510
Country	:	US
Telephone Number	:	570-620-4311
Fax Number	:	570-620-4332

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

Provider Enumeration Date	:	11/05/2007
Last Update Date	:	02/11/2020

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