MEDICARE: ZACHARY LEE ANDREWS LPC

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	101YP2500X	Professional Counselor	LPC05465	AL

General Provider Information

NPI Number	:	1497571673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY LEE ANDREWS LPC

Provider Business Mailing Address
First Line	:	127 WATERSTONE WAY
Second Line	:
City	:	MONTEVALLO
State	:	AL
Zip	:	35115-5709
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 PROVIDENCE PARK STE 150
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-7704
Country	:	US
Telephone Number	:	205-913-9893
Fax Number	:

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

Provider Enumeration Date	:	12/03/2024
Last Update Date	:	12/03/2024

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Directions to “ ZACHARY LEE ANDREWS LPC” Practice Location

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