Provider Demographics
NPI:1235323593
Name:HARRIS, ANDREW HOWARD (LPC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:HOWARD
Last Name:HARRIS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7005 SHANNON WILLOW RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-1300
Mailing Address - Country:US
Mailing Address - Phone:704-990-2195
Mailing Address - Fax:704-220-0607
Practice Address - Street 1:7005 SHANNON WILLOW RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-1300
Practice Address - Country:US
Practice Address - Phone:704-990-2195
Practice Address - Fax:704-220-0607
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8173101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional