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NPI Code Detail

MEDICARE: ANDREW AUSTIN LMHC

MEDICARE:   ANDREW  AUSTIN  LMHC
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
1101YM0800XMental Health Counselor016871NY

General Provider Information

NPI Number : 1477332872
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW AUSTIN LMHC
Provider Business Mailing Address
First Line : 474 W 158TH ST APT 24
Second Line :
City : NEW YORK
State : NY
Zip : 10032-5344
Country : US
Telephone Number : 813-624-4014
Fax Number : 315-279-0194
Provider Business Practice Location Address
First Line : 474 W 158TH ST APT 24
Second Line :
City : NEW YORK
State : NY
Zip : 10032-5344
Country : US
Telephone Number : 813-624-4014
Fax Number : 315-279-0194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 06/01/2026

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