Healthcare Provider Details

I. General information

NPI: 1417768458
Provider Name (Legal Business Name): ABIGAIL ANDREWS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 BROOKSIDE LN
GUILDERLAND NY
12084-9057
US

IV. Provider business mailing address

34 BROOKSIDE LN
GUILDERLAND NY
12084-9057
US

V. Phone/Fax

Practice location:
  • Phone: 518-807-3016
  • Fax: 888-469-6742
Mailing address:
  • Phone: 518-859-5010
  • Fax: 888-469-6742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number015512
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: