Provider Demographics
NPI:1053053280
Name:DR EMILY C ADKINS LLC
Entity Type:Organization
Organization Name:DR EMILY C ADKINS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:617-615-6109
Mailing Address - Street 1:500 GROSSMAN DR # 1020
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4953
Mailing Address - Country:US
Mailing Address - Phone:617-615-6109
Mailing Address - Fax:
Practice Address - Street 1:500 GROSSMAN DR # 1020
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-4953
Practice Address - Country:US
Practice Address - Phone:617-615-6109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health