Provider Demographics
NPI:1306046586
Name:LIPINSKI, ANDREW A (LPC)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:A
Last Name:LIPINSKI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:122 ARABIAN AVE N
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-3907
Mailing Address - Country:US
Mailing Address - Phone:512-508-3545
Mailing Address - Fax:
Practice Address - Street 1:2301 BAGDAD RD # 404
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6488
Practice Address - Country:US
Practice Address - Phone:512-633-7839
Practice Address - Fax:866-617-5633
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18547101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165844502Medicaid