Provider Demographics
NPI:1508342221
Name:JAMES, ANDRE L (LPC)
Entity type:Individual
Prefix:MR
First Name:ANDRE
Middle Name:L
Last Name:JAMES
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 BROAD ST NW STE B
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-2248
Mailing Address - Country:US
Mailing Address - Phone:423-641-1211
Mailing Address - Fax:
Practice Address - Street 1:755 BROAD ST NW STE B
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-2248
Practice Address - Country:US
Practice Address - Phone:423-641-1211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7483101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional