Provider Demographics
NPI:1598944001
Name:LIPKINS, ANDRE (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:ANDRE
Middle Name:
Last Name:LIPKINS
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12010 ARROWHEAD GLEN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2402
Mailing Address - Country:US
Mailing Address - Phone:713-447-5522
Mailing Address - Fax:713-484-8904
Practice Address - Street 1:12010 ARROWHEAD GLEN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2402
Practice Address - Country:US
Practice Address - Phone:713-447-5522
Practice Address - Fax:713-484-8904
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61109101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional