Carlton A Andrews III, LPC
Individual provider Active NPI Professional Counselor · Columbia, SC
NPI 1003069915 · NPPES record last updated Oct 23, 2008
Key facts
- NPI
- 1003069915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4962 (SC)
- Practice address
- 2611 River Dr
Columbia, SC 29201-1749 - Phone
- (803) 446-4905
- Fax
- (803) 771-6685
- NPI assigned
- Oct 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4962 | SC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4962 | SC | |
| Professional Counselor | 101YP2500X | 4962 | SC | Yes |
| Psychoanalyst | 102L00000X | 4962 | SC |
Addresses
Primary practice location
2611 River Dr
Columbia, SC 29201-1749
Mailing address
2611 River Dr
Columbia, SC 29201-1749
Phone (803) 446-4905
Other providers in Columbia, SC
- Nicole Andreini
- Allison Andres
- Andrew H. Woldorf MD
- William Cole Andrew
- Angela Jewel Andrews
- Charles M Andrews
- Christopher Lee Andrews
- Courtney Brasfield Andrews
- Kara Lynne Andrews
- Neal David Andrews
All providers in Columbia, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.