ANDREA STREETER
NPI 1205205473
Intermediate Care Facility, Intellectual Disabilities in Stone Mountain, GA

Active since September 17, 2015
439 WATSON BAY, STONE MOUNTAIN, GA 30087(770) 465-6858 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Streeter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA STREETER (NPI 1205205473) is an individual intermediate care facility, intellectual disabilities provider in Stone Mountain, Georgia, licensed in Georgia (044016471) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1205205473
Entity TypeIndividualFemale
Primary Taxonomy315P00000X
Provider Legal NameANDREA STREETER
Location Address439 WATSON BAYStone Mountain, GA 30087-6195
Mailing Address439 Watson BayStone Mountain, GA 30087-6195 · (770) 465-6858
Sole ProprietorYes
Enumeration DateSeptember 17, 2015
NPI 1205205473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in GA · 044016471
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

439 WATSON BAY, Stone Mountain, GA 30087

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Intermediate Care Facility, Intellectual Disabilities
439 WATSON BAY
STONE MOUNTAIN, GA 30087

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Streeter's NPI number?

The NPI number for Andrea Streeter is 1205205473. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Where is Andrea Streeter located?

Andrea Streeter practices at 439 Watson Bay, Stone Mountain, GA 30087. The listed phone number is (770) 465-6858.

What is Andrea Streeter's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Andrea Streeter was last updated on September 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.