Provider Demographics
NPI:1346370269
Name:ADAMS, WILLIAM A (LPC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:ADAMS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:BILLY
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1806 JIMMY DODD RD
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-2220
Mailing Address - Country:US
Mailing Address - Phone:770-271-8989
Mailing Address - Fax:770-932-8297
Practice Address - Street 1:2910 HORIZON PARK DR STE A
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-7256
Practice Address - Country:US
Practice Address - Phone:770-271-8989
Practice Address - Fax:770-932-8297
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004139101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional