Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Derrick Gordon, LPC

Individual provider Professional Counselor · NPI 1699347112

Andrew Derrick Gordon, LPC is a Professional Counselor in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

500 Lanier Ave W
Fayetteville, GA 30214-7636
Phone: (404) 800-4002
Fax: (404) 393-5698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC012296 (GA)

Record details

NPI number1699347112
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJuly 14, 2021
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021
Mailing address7097 Southface Way, Austell, GA 30168-6361

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