Provider Demographics
NPI:1982934238
Name:EPTING, ANDREA MAMALAKIS (LPC, MAC)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:MAMALAKIS
Last Name:EPTING
Suffix:
Gender:F
Credentials:LPC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CHESTLEY PL
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4200
Mailing Address - Country:US
Mailing Address - Phone:912-507-8576
Mailing Address - Fax:
Practice Address - Street 1:10 CHESTLEY PL
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4200
Practice Address - Country:US
Practice Address - Phone:912-507-8576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-09
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005849101Y00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)