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 32 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