Provider Demographics
NPI:1194286393
Name:BURDETTE, ANDREW NINIAN (LCMHC, LCASA, NCC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:NINIAN
Last Name:BURDETTE
Suffix:
Gender:
Credentials:LCMHC, LCASA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 WESTGATE PKWY # 351
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3808
Mailing Address - Country:US
Mailing Address - Phone:828-845-8192
Mailing Address - Fax:828-417-3505
Practice Address - Street 1:11 RICHLAND ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-4623
Practice Address - Country:US
Practice Address - Phone:828-845-8192
Practice Address - Fax:828-417-3505
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-29
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25136101YA0400X
FLTPMC2566101YM0800X
NC14600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)