Provider Demographics
NPI:1164935979
Name:ADAMS, NANCY ELIZABETH (MS, LPC, CPC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ELIZABETH
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MS, LPC, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 GATLING RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MT
Mailing Address - Zip Code:59833-7002
Mailing Address - Country:US
Mailing Address - Phone:406-200-8365
Mailing Address - Fax:
Practice Address - Street 1:135 GATLING RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MT
Practice Address - Zip Code:59833-7002
Practice Address - Country:US
Practice Address - Phone:406-200-8365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-15
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP0239101YP2500X
NV101YP2500X
MTBBH-LCPC-LIC-53434101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT200007830Medicaid