Provider Demographics
NPI:1003201302
Name:ADAMS, ANNIE (LPC)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 PLANTERS RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-1832
Mailing Address - Country:US
Mailing Address - Phone:334-356-2154
Mailing Address - Fax:334-356-2154
Practice Address - Street 1:480 PLANTERS RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-1832
Practice Address - Country:US
Practice Address - Phone:334-356-2154
Practice Address - Fax:334-356-2154
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2358101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional