Mr Than Demetrisus Andros, AT in Trumann, AR - Counselor

Mr Than Demetrisus Andros, AT is a Counselor based in Trumann, Arkansas. Mr Than Demetrisus Andros is licensed to practice in * (Not Available) (license number ) and his current practice location is 417 W Main St, Ste B, Trumann, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 483-7039.

NPI number for Mr Than Demetrisus Andros is 1235450172 and his current mailing address is 5537 Bleaux Ave, Springdale, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235450172.

Contact Information

	Mr Than Demetrisus Andros, AT
	417 W Main St, Ste B, Trumann, AR 72472-3116
	(870) 483-7039
	(870) 483-0590

Healthcare Provider's Profile

Full Name	Mr Than Demetrisus Andros
Gender	Male
Speciality	Counselor
Location	417 W Main St, Trumann, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1235450172
Provider Enumeration Date: 06/15/2010
Last Update Date: 06/15/2010

Medical Identifiers

Medical identifiers for Mr Than Demetrisus Andros such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235450172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Than Demetrisus Andros is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Than Demetrisus Andros, AT 5537 Bleaux Ave, Springdale, AR 72762-0737 Ph: (479) 872-5580	Mr Than Demetrisus Andros, AT 417 W Main St, Ste B, Trumann, AR 72472-3116 Ph: (870) 483-7039

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Counselor in Trumann, AR

Tanika Pruitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St, Ste B, Trumann, AR 72472 Phone: 870-483-7039
Taylor Patrick Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066
Reginald Chandler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066
Mrs. Laura Jean Jumper, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066
Tarsher Lofton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St Ste B, Trumann, AR 72472 Phone: 870-483-7039
Kelton Doggett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St Ste B, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590
Symanthia Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 Highway 463 N, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590

Mr Than Demetrisus Andros, AT - Counselor in Trumann, AR