Provider Demographics
NPI:1528513926
Name:BARNETT, ANDREW THEODORE (LCMHC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:THEODORE
Last Name:BARNETT
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 EDGEMONT RD APT 2
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1550
Mailing Address - Country:US
Mailing Address - Phone:828-707-4277
Mailing Address - Fax:
Practice Address - Street 1:83 EDGEMONT RD APT 2
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1550
Practice Address - Country:US
Practice Address - Phone:828-707-4277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12470101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health