Provider Demographics
NPI:1871200568
Name:ANDREA BEY FAMILY THERAPY INC
Entity type:Organization
Organization Name:ANDREA BEY FAMILY THERAPY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:BEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:805-225-4495
Mailing Address - Street 1:405 E BRANCH ST STE 111
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-2802
Mailing Address - Country:US
Mailing Address - Phone:805-225-4495
Mailing Address - Fax:
Practice Address - Street 1:405 E BRANCH ST STE 111
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-2802
Practice Address - Country:US
Practice Address - Phone:805-225-4495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty