MR. ANDREW PROVENCE LPC
NPI 1114079159
Counselor - Professional in Griffin, GA

Active since January 18, 2007
2000 W MCINTOSH RD, GRIFFIN, GA 30223(678) 688-3133(678) 688-3134 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Andrew Provence Lpc NPPES

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

MR. ANDREW PROVENCE LPC (NPI 1114079159) is an individual professional provider in Griffin, Georgia, licensed in Georgia (LPC003592) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114079159
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ANDREW PROVENCECredential: LPC
Location Address2000 W MCINTOSH RDGriffin, GA 30223-6265
Mailing Address2000 W Mcintosh RdGriffin, GA 30223-6265 · (678) 688-3133 · Fax (678) 688-3134
Fax(678) 688-3134
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1114079159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC003592
2000 W MCINTOSH RD, Griffin, GA 30223

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
2000 W MCINTOSH RD
GRIFFIN, GA 30223
Marriage & Family Therapist
2000 W MCINTOSH RD
GRIFFIN, GA 30223
Counselor
2000 W MCINTOSH RD
GRIFFIN, GA 30223
Marriage & Family Therapist
2000 W MCINTOSH RD
GRIFFIN, GA 30223
Counselor (Professional)
2000 W MCINTOSH RD
GRIFFIN, GA 30223
Counselor (Professional)
2000 W MCINTOSH RD
GRIFFIN, GA 30223
Counselor (Professional)
2000 W MCINTOSH RD
GRIFFIN, GA 30223

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 Andrew Provence's NPI number?

The NPI number for Andrew Provence is 1114079159. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Andrew Provence located?

Andrew Provence practices at 2000 W Mcintosh Rd, Griffin, GA 30223. The listed phone number is (678) 688-3133.

What is Andrew Provence's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Andrew Provence was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.