MEDICARE: MR. ANDREW ROBERT KARABINOS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	12409	NC

General Provider Information

NPI Number	:	1376098665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANDREW ROBERT KARABINOS

Provider Business Mailing Address
First Line	:	1819 SARDIS RD N STE 350
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-2472
Country	:	US
Telephone Number	:	704-350-5705
Fax Number	:

Provider Business Practice Location Address
First Line	:	1819 SARDIS RD N STE 350
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-2472
Country	:	US
Telephone Number	:	704-350-5705
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2016
Last Update Date	:	10/07/2024

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