Organization
ANDREA GARRAWAY COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA GARRAWAY LCAS, LCMHCS, CCS (SUPERVISOR AND PSYCHOTHERAPIST)
(704) 830-8060
Entity
Organization
Contact information
Practice address
4530 HUBBARD FALLS DR, CHARLOTTE, NC 28269-2356
(704) 830-8060
Mailing address
4530 HUBBARD FALLS DR, CHARLOTTE, NC 28269-2356
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154753101
—
NC
Enumeration date
05/08/2018
Last updated
11/01/2021
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