Healthcare Provider Details

I. General information

NPI: 1912448671
Provider Name (Legal Business Name): ANDREWS COUNSELING AND CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 07/01/2022
Certification Date: 07/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 N MEBANE ST STE 125
BURLINGTON NC
27217-3957
US

IV. Provider business mailing address

671 DICKSON RD
RIEGELWOOD NC
28456-8066
US

V. Phone/Fax

Practice location:
  • Phone: 919-214-0862
  • Fax: 833-847-4855
Mailing address:
  • Phone: 919-214-0862
  • Fax: 833-847-4855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. TRAVIS S ANDREWS
Title or Position: OWNER/OPERATOR
Credential: LCMHCS, LPCC, CRC
Phone: 919-214-0862