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Active NPI 1114079159 Individual Practitioner Male Practitioner

Andrew Provence , LPC

Counselor - Professional • Griffin, GA

Professional Overview & Biography Verified Profile Summary

Andrew Provence, LPC is a registered healthcare professional specializing in Counselor - Professional in Griffin, GA. Practice services are available at 2000 W MCINTOSH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2000 W Mcintosh Rd

Griffin, GA 302236265

Telephone 6786883133
Fax 6786883134
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Griffin, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
42 Specialists

Practicing in Griffin, GA (6655 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC003592

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Brenda Twilley , LPC

Counselor - Professional

NPI 1013591270

Licensed Professional Counselor

Kimberly Puzio , MS

Counselor - Mental Health

NPI 1033930938

Master of Science

Jacob Gilbreath

Counselor - Professional

NPI 1043998859
Sharon Gilmore , LCSW

Social Worker - Clinical

NPI 1184074023

Licensed Clinical Social Worker

Cynthia Midgett , LPC

Counselor - Mental Health

NPI 1215465539

Licensed Professional Counselor

Sandra Rawlings , MS, LPC

Counselor - Mental Health

NPI 1255666855

Master of Science, Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2000 W MCINTOSH RD, GRIFFIN, GA 302236265 (Tel: 6786883133)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2000 W MCINTOSH RD, GRIFFIN, GA 302236265 (Tel: 6786883133)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANDREW PROVENCE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #LPC003592 in GA)

🟢
Initial NPI Registration & Enumeration January 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114079159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2000 W Mcintosh Rd

Griffin, GA 302236265

Phone: 6786883133

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.