Provider Demographics
NPI:1790244994
Name:HARTNETT, ANDREW (MS LPC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:HARTNETT
Suffix:
Gender:M
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 MOORE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-1828
Mailing Address - Country:US
Mailing Address - Phone:267-702-6441
Mailing Address - Fax:
Practice Address - Street 1:1300 SOUTH COLUMBUS BLVD. #1187
Practice Address - Street 2:STE. 1
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147
Practice Address - Country:US
Practice Address - Phone:267-702-6441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-18
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014412101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health