ANDRA MODOCK MA LLPC NCE NPI 1205417896

NPI Information

  • NPI: 1205417896
  • Provider Name: ANDRA MODOCK, MA, LLPC, NCE
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 7415 HARRISON ST
    WESTLAND, MI
    ZIP 48185
  • Phone: (734) 578-6019

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NPI Details

Andra Modock, MA, LLPC, NCE is a professional counselor in Westland, MI. Andra Modock, MA, LLPC, NCE NPI is 1205417896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7415 HARRISON ST
WESTLAND, MI
ZIP 48185-629
Phone: (734) 578-6019

The enumeration date for this NPI number is 4/15/2021 and was last updated on 4/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPCC.0018266COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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