Provider Demographics
NPI:1144659319
Name:MCPHATTER, ANDREA (LMHC)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:
Last Name:MCPHATTER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:668 HAVEN PL
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-4847
Mailing Address - Country:US
Mailing Address - Phone:434-941-2305
Mailing Address - Fax:
Practice Address - Street 1:251 NORTHWYND CIR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-3152
Practice Address - Country:US
Practice Address - Phone:434-941-2305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9941101YP2500X
FL22298101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional