Provider Demographics
NPI:1972099679
Name:PEREZ, ANDREW LEVI (LPC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:LEVI
Last Name:PEREZ
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 W WESTERN DR APT 1
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4423
Mailing Address - Country:US
Mailing Address - Phone:956-844-5728
Mailing Address - Fax:
Practice Address - Street 1:126 E NEWCOMBE AVE STE 6A
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-4816
Practice Address - Country:US
Practice Address - Phone:956-844-5728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68343101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional