Gates-Gonzalez, Andrea Lee

Gates-Gonzalez, Andrea Lee is an individual health care provider with primary practice located at 4500 W Midway Rd , Fort Pierce FL 34981-4823. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gates-Gonzalez, Andrea Lee can be contacted via phone (772) 467-3097.

Contact Information

Primary practice address
4500 W Midway Rd Fort Pierce FL 34981-4823
Phone: (772) 467-3097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1376683342
LBN Legal business name Gates-Gonzalez, Andrea Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Sep 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376683342 NPPES
Florida MEDICAID 76567200

Popular Providers