Provider Demographics
NPI:1235413733
Name:ADAMS, SHIRLEY DAWSON (LPC)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:DAWSON
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 1:110 FOREST LAKES RD
Mailing Address - Street 2:
Mailing Address - City:LOUISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27549-7364
Mailing Address - Country:US
Mailing Address - Phone:919-520-7790
Mailing Address - Fax:
Practice Address - Street 1:110 FOREST LAKES RD
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-7364
Practice Address - Country:US
Practice Address - Phone:919-520-7790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA8558101YM0800X
NC8558101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health