Healthcare Provider Details

I. General information

NPI: 1386589976
Provider Name (Legal Business Name): ANDREW BIXLER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 E ROUTE 66 STE 203
FLAGSTAFF AZ
86001-5777
US

IV. Provider business mailing address

16 E ROUTE 66 STE 203
FLAGSTAFF AZ
86001-5777
US

V. Phone/Fax

Practice location:
  • Phone: 928-606-2907
  • Fax:
Mailing address:
  • Phone: 928-606-2907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-24720
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: