Provider Demographics
NPI:1740796184
Name:ANDREWS, MICHELLE LORRAINE (MA, EDD, BCCP, LCAS)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:LORRAINE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MA, EDD, BCCP, LCAS
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:LORRAINE
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCASA
Mailing Address - Street 1:318 MELBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-4320
Mailing Address - Country:US
Mailing Address - Phone:281-748-4121
Mailing Address - Fax:
Practice Address - Street 1:2706 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-3657
Practice Address - Country:US
Practice Address - Phone:336-272-9990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-21
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YP2500X, 251B00000X
NC24912101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No251B00000XAgenciesCase Management