Provider Demographics
NPI:1063834687
Name:ADKINS, TOBIAS BERNARD (LPCC)
Entity Type:Individual
Prefix:MR
First Name:TOBIAS
Middle Name:BERNARD
Last Name:ADKINS
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15584 OHIO CITY VENEDOCIA RD
Mailing Address - Street 2:
Mailing Address - City:VENEDOCIA
Mailing Address - State:OH
Mailing Address - Zip Code:45894-9513
Mailing Address - Country:US
Mailing Address - Phone:419-236-5367
Mailing Address - Fax:
Practice Address - Street 1:15584 OHIO CITY VENEDOCIA RD
Practice Address - Street 2:
Practice Address - City:VENEDOCIA
Practice Address - State:OH
Practice Address - Zip Code:45894-9513
Practice Address - Country:US
Practice Address - Phone:419-236-5367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-16
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2202868101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE.2202868OtherOHIO COUNSELOR BOARD