Provider Demographics
NPI:1548605363
Name:ANDREWS, VIRGINIA M (MA, LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:M
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MA, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 TROTWOOD AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4750
Mailing Address - Country:US
Mailing Address - Phone:931-223-5711
Mailing Address - Fax:931-548-2218
Practice Address - Street 1:1324 TROTWOOD AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4750
Practice Address - Country:US
Practice Address - Phone:931-223-5711
Practice Address - Fax:931-548-2218
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2777101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional