Mr Andre Riddick Sr, LPCC - Counselor in Lexington, KY

Mr Andre Riddick Sr, LPCC is a Counselor based in Lexington, Kentucky. Mr Andre Riddick Sr is licensed to practice in Kentucky (license number 288964) and his current practice location is 1301 Winchester Rd Ste 147, Lexington, Kentucky. He can be reached at his office (for appointments etc.) via phone at (859) 991-0710.

NPI number for Mr Andre Riddick Sr is 1003372905 and his current mailing address is 1301 Winchester Rd Ste 147, Lexington, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003372905.

Contact Information

Mr Andre Riddick Sr, LPCC
1301 Winchester Rd Ste 147,
Lexington, KY 40505-4179
(859) 991-0710
(859) 309-1791

Healthcare Provider's Profile

Full NameMr Andre Riddick Sr
GenderMale
SpecialityCounselor
Location1301 Winchester Rd Ste 147, Lexington, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003372905
  • Provider Enumeration Date: 02/15/2019
  • Last Update Date: 11/28/2023

Medical Identifiers

Medical identifiers for Mr Andre Riddick Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003372905NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 288964 (Kentucky)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Andre Riddick Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Andre Riddick Sr, LPCC
1301 Winchester Rd Ste 147,
Lexington, KY 40505-4179

Ph: (859) 991-0710
Mr Andre Riddick Sr, LPCC
1301 Winchester Rd Ste 147,
Lexington, KY 40505-4179

Ph: (859) 991-0710

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› Verified 4 days ago


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