Provider Demographics
NPI:1437347598
Name:ADAMS, ALPHONSE EDWARD (LPC/MHSP)
Entity Type:Individual
Prefix:
First Name:ALPHONSE
Middle Name:EDWARD
Last Name:ADAMS
Suffix:
Gender:M
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10125 SUGAR CAMP RD
Mailing Address - Street 2:
Mailing Address - City:BON AQUA
Mailing Address - State:TN
Mailing Address - Zip Code:37025-2818
Mailing Address - Country:US
Mailing Address - Phone:615-512-0119
Mailing Address - Fax:615-469-3770
Practice Address - Street 1:904 HARPETH VALLEY PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1141
Practice Address - Country:US
Practice Address - Phone:615-512-0119
Practice Address - Fax:615-469-3770
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-13
Last Update Date:2007-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC1680101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional