Andrea R Domenico
Counselor, Mental Health in Manchester, New Hampshire
1174078885- Practice location
- 1361 Elm St Ste 400, Manchester, NH 03101-1323
- Phone
- 603-232-6987
- Fax
- —
- Last updated
- August 23, 2016
Andrea R Domenico is a Counselor, Mental Health based in Manchester, NH. Andrea R Domenico practices in Manchester, NH. The NPI Number for Andrea R Domenico is 1174078885 and holds a License No. 1205 (NH). The current practice location address for Andrea R Domenico is 1361 Elm St Ste 400, Manchester, NH 03101-1323 and can be reached out via phone at 603-232-6987.
Provider Profile Details
- NPI Number
- 1174078885
- Provider Name
- Andrea R Domenico
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1361 Elm St Ste 400, Manchester, NH 03101-1323
- Phone Number
- 603-232-6987
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 23, 2016
- Last Update Date
- August 23, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1361 Elm St Ste 400
Manchester, NH 03101-1323 - City
- Manchester
- State
- New Hampshire
- Zip
- 03101-1323
- Phone Number
- 603-232-6987
Provider Business Mailing Address Details
- Address
- 11 Clear Creek Way
Manchester, NH 03102-8462 - City
- Manchester
- State
- NH
- Zip
- 03102-8462
- Phone Number
- 603-793-8029
License Information
- License Number
- 1205
- License State
- NH
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Andrea R Domenico?
The NPI number of Andrea R Domenico is 1174078885. It was assigned on August 23, 2016 and is currently active in the NPPES registry.
What is the specialty of Andrea R Domenico?
Andrea R Domenico is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NH under license number 1205.
Where does Andrea R Domenico practice?
The practice location is 1361 Elm St Ste 400, Manchester, NH 03101-1323. The office can be reached at 603-232-6987 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174078885 directly on the NPPES registry website.