Andrea Fawley
Marriage & Family Therapist in Cleveland, TN. Individual provider (NPI-1).
NPI number1003672569
StatusActive
Last updated in NPPESMar 15, 2024
Details
- NPI
- 1003672569
- Entity type
- Individual (NPI-1)
- Name
- Andrea Fawley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2024
- Certification date
- Mar 15, 2024
- Last updated
- Mar 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1772 | TN | Yes |
Practice location
1441 Guthrie Dr Nw Ste 205Cleveland, TN 37311-3642
Phone 423-650-7543
Mailing address
1441 Guthrie Dr Nw Ste 205Cleveland, TN 37311-3642
Phone 423-650-7543
Other practice locations
7151 Lee Hwy Ste 500
Chattanooga, TN 37421-0808
Chattanooga, TN 37421-0808
Phone 142-364-1289
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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