Provider Demographics
NPI:1568691665
Name:SIMPSON, ANDREW R (LPC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:R
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 GRIMES CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-7431
Mailing Address - Country:US
Mailing Address - Phone:254-547-6997
Mailing Address - Fax:
Practice Address - Street 1:2850 GRIMES CROSSING RD
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-7431
Practice Address - Country:US
Practice Address - Phone:254-547-6997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61490101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional