Individual ProviderAndrea J KingCounselorBehavioral Health & Social Service ProvidersPractice Address15535 Norge Ct, Bowie, MD 20716-1379(202) 841-0793PECOS EnrollmentBased on the most recent information from CMS, provider Andrea J King does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1659084044Provider TypeIndividualFull NameKing, Andrea JGenderFemaleSole ProprietorNoEnumeration Date12/30/2022Last Updated12/30/2022Contact InformationPractice LocationPractice Address15535 Norge Ct, Bowie, MD 20716-1379Phone(202) 841-0793FaxUnlisted FaxMailing LocationMailing Address15535 Norge Ct, Bowie, MD 20716-1379Phone(202) 841-0793FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicensePRC13756District of ColumbiaProvider IdentifiersIDDescriptionIssuerIDLPCDescriptionOtherIssuerMENTAL HEALTHDistrict of ColumbiaIDPRC-13756DescriptionOtherIssuerLCPCDistrict of Columbia