Healthcare Provider Details

I. General information

NPI: 1154257392
Provider Name (Legal Business Name): DANA ANDREWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 J N PEASE PL STE 103
CHARLOTTE NC
28262-4509
US

IV. Provider business mailing address

1905 J N PEASE PL STE 103
CHARLOTTE NC
28262-4509
US

V. Phone/Fax

Practice location:
  • Phone: 704-733-0436
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12038
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberNDR-K1OCSA
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: