Provider Demographics
NPI:1194372490
Name:ADAMS, DONNA RENEE (MA, LCMHCA)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:RENEE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MA, LCMHCA
Other - Prefix:MRS
Other - First Name:RENEE
Other - Middle Name:LANGLEY
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA LCMHCA
Mailing Address - Street 1:1146 COUNTY HOME RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-6952
Mailing Address - Country:US
Mailing Address - Phone:704-275-1522
Mailing Address - Fax:
Practice Address - Street 1:1146 COUNTY HOME RD
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28152-6952
Practice Address - Country:US
Practice Address - Phone:980-261-3092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-21
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NCA15100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty