Lucas Constantinos Andrianopoulos
Individual provider Active NPI Mental Health Counselor · Mobile, AL
NPI 1275238263 · NPPES record last updated Mar 31, 2023
Key facts
- NPI
- 1275238263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- ALC04449 (AL)
- Practice address
- 6336 Piccadilly Square Dr
Mobile, AL 36609-5143 - Phone
- (251) 554-6183
- NPI assigned
- Mar 31, 2023
- 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 |
|---|---|---|---|
| ALC04449 | AL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ALC04449 | AL | Yes |
Addresses
Primary practice location
6336 Piccadilly Square Dr
Mobile, AL 36609-5143
Mailing address
6336 Piccadilly Square Dr
Mobile, AL 36609-5143
Phone (251) 554-6183
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- Mary Michael Andrus
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All providers in Mobile, AL · Mental Health Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2023. 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.