Provider Demographics
NPI:1699005207
Name:ANDREWS, ELIZABETH JUDD (MS LMFT)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:JUDD
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E WOODLAWN RD
Mailing Address - Street 2:UNIT 310
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2866
Mailing Address - Country:US
Mailing Address - Phone:919-417-5547
Mailing Address - Fax:
Practice Address - Street 1:1209 E GARRISON BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-5115
Practice Address - Country:US
Practice Address - Phone:704-689-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1296106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist