Provider Demographics
NPI:1790394500
Name:ECHOLS, ANDREA D (LPC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:D
Last Name:ECHOLS
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 1:100 CENTERVIEW DR STE 130
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-3749
Mailing Address - Country:US
Mailing Address - Phone:205-983-3654
Mailing Address - Fax:
Practice Address - Street 1:100 CENTERVIEW DRIVE
Practice Address - Street 2:SUITE 130
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216
Practice Address - Country:US
Practice Address - Phone:205-983-3654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC04635101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health