Provider Demographics
NPI:1215423629
Name:SHIPLEY, ANDREA LEIGH (LPC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:LEIGH
Last Name:SHIPLEY
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 ENGLAND ST # 56
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-9998
Mailing Address - Country:US
Mailing Address - Phone:804-404-5593
Mailing Address - Fax:
Practice Address - Street 1:301 ENGLAND ST
Practice Address - Street 2:# 56
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-9998
Practice Address - Country:US
Practice Address - Phone:804-404-5593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007556101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional