MRS. ANDREA BOULWARE LCMHCA
NPI 1003520057
Counselor - Mental Health in Charlotte, NC

Q: What is Andrea Boulware's NPI number?

The NPI number for Andrea Boulware is 1003520057. It was assigned to this individual provider in the NPPES registry on January 12, 2023.

Q: What is Andrea Boulware's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Boulware was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2023

7300 CARMEL EXECUTIVE PARK DR STE 115, CHARLOTTE, NC 28226(980) 243-3646 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Andrea Boulware Lcmhca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANDREA BOULWARE LCMHCA (NPI 1003520057) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (A17684) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1003520057

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. ANDREA BOULWARECredential: LCMHCA

Location Address7300 CARMEL EXECUTIVE PARK DR STE 115Charlotte, NC 28226-1310

Mailing Address1811 Summit View PlWaxhaw, NC 28173-7333 · (980) 243-3646

Phone(980) 243-3646

Sole ProprietorYes

Enumeration DateJanuary 12, 2023

NPPES CertifiedJanuary 12, 2023

✔ NPI 1003520057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · A17684

7300 CARMEL EXECUTIVE PARK DR STE 115, Charlotte, NC 28226

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN STEWART LCMHCA

Counselor (Mental Health)

7300 CARMEL EXECUTIVE PARK DR STE 115
CHARLOTTE, NC 28226

Mecklenburg County (704) 467-7497

MR. MATTHEW THURMAN MILLER MA, LMFT

Marriage & Family Therapist

7300 CARMEL EXECUTIVE PARK DR STE 115
CHARLOTTE, NC 28226

Mecklenburg County (704) 909-9786

ASHLEY M KING

Marriage & Family Therapist

7300 CARMEL EXECUTIVE PARK DR STE 115
CHARLOTTE, NC 28226

Mecklenburg County (704) 491-8970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Boulware's NPI number?

The NPI number for Andrea Boulware is 1003520057. It was assigned to this individual provider in the NPPES registry on January 12, 2023.

Where is Andrea Boulware located?

Andrea Boulware practices at 7300 Carmel Executive Park Dr Ste 115, Charlotte, NC 28226. The listed phone number is (980) 243-3646.

What is Andrea Boulware's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Andrea Boulware was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.