Provider Demographics
NPI:1124871009
Name:WEEKS, ANDREW ROBERTS (LCDC I)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:ROBERTS
Last Name:WEEKS
Suffix:
Gender:M
Credentials:LCDC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3625 DUVAL RD # 15-1534
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-3547
Mailing Address - Country:US
Mailing Address - Phone:254-228-8569
Mailing Address - Fax:
Practice Address - Street 1:14101 W HIGHWAY 290 STE 1600A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-9416
Practice Address - Country:US
Practice Address - Phone:512-230-7807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67938101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)