Provider Demographics
NPI:1851104947
Name:WINTERS, ANDREA DIANE (MS)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:DIANE
Last Name:WINTERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:DIANE
Other - Last Name:DOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1260 BEAR ROCK RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY GROVE
Mailing Address - State:WV
Mailing Address - Zip Code:26060-7922
Mailing Address - Country:US
Mailing Address - Phone:304-216-8589
Mailing Address - Fax:
Practice Address - Street 1:1260 BEAR ROCK RD
Practice Address - Street 2:
Practice Address - City:VALLEY GROVE
Practice Address - State:WV
Practice Address - Zip Code:26060-7922
Practice Address - Country:US
Practice Address - Phone:304-216-8589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health