Provider Demographics
NPI:1003257023
Name:HARVEY, ANDRE MAURICE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ANDRE
Middle Name:MAURICE
Last Name:HARVEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8640 UNIVERSITY CITY BLVD STE A3-153
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-3501
Mailing Address - Country:US
Mailing Address - Phone:980-202-2526
Mailing Address - Fax:855-655-2268
Practice Address - Street 1:9711 DAVID TAYLOR DR APT 104
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-2367
Practice Address - Country:US
Practice Address - Phone:980-202-2526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0095921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical