IndividualActive
Andrea Phouthavong
NPI 1104526409 · Social Worker · Circleville, OH
Provider details
- NPI number
- 1104526409
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- S.2308869 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
319 Logan St
Circleville, OH 43113-2213
Phone: (740) 474-8874
Approximate (ZIP-level) locationGet directions
Mailing address
4449 State Route 159
Chillicothe, OH 45601-8620
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2023-03-06
- Certified
- 2023-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.