Provider Demographics
NPI:1942016936
Name:FEIST, ANDREW (LMFT-IT)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:FEIST
Suffix:
Gender:M
Credentials:LMFT-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 DARWIN RD STE 15
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3116
Mailing Address - Country:US
Mailing Address - Phone:608-241-4888
Mailing Address - Fax:
Practice Address - Street 1:2445 DARWIN RD STE 15
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3116
Practice Address - Country:US
Practice Address - Phone:608-241-4888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1114-228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist