Provider Demographics
NPI:1881973378
Name:ANDREWS, TRAVIS S (LCMHCS,LPCCS,CRC)
Entity type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:S
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:LCMHCS,LPCCS,CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:671 DICKSON RD
Mailing Address - Street 2:
Mailing Address - City:RIEGELWOOD
Mailing Address - State:NC
Mailing Address - Zip Code:28456-8066
Mailing Address - Country:US
Mailing Address - Phone:919-214-0862
Mailing Address - Fax:833-847-4855
Practice Address - Street 1:236 N MEBANE ST STE 125
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-3957
Practice Address - Country:US
Practice Address - Phone:919-214-0862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA8657101Y00000X, 101YP2500X, 101YM0800X
225C00000X
NCS8657251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health