Provider Demographics
NPI:1164059341
Name:ANDREWS, CARRIE LEA (LPC-I)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:LEA
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 CASTLE CT
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-1801
Mailing Address - Country:US
Mailing Address - Phone:210-771-9833
Mailing Address - Fax:
Practice Address - Street 1:7955 REAL RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78263-3003
Practice Address - Country:US
Practice Address - Phone:210-771-9833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80873101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty