Provider Demographics
NPI:1821306556
Name:LEFEBVRE, ANDREA D (LPC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:D
Last Name:LEFEBVRE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 19TH ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3715
Mailing Address - Country:US
Mailing Address - Phone:304-234-3500
Mailing Address - Fax:304-845-9977
Practice Address - Street 1:1819 WOOD ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3607
Practice Address - Country:US
Practice Address - Phone:304-234-3500
Practice Address - Fax:304-845-9977
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.0600618101YP2500X
OHC.0600618-CR101YP2500X
WV1197103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0268768Medicaid