Provider Demographics
NPI:1477788875
Name:ADAMS PROFESSIONAL SERVICES
Entity Type:Organization
Organization Name:ADAMS PROFESSIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:VERONICA
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-252-0994
Mailing Address - Street 1:1101 MIRANDA LN
Mailing Address - Street 2:SUITE131
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-0769
Mailing Address - Country:US
Mailing Address - Phone:407-252-0994
Mailing Address - Fax:407-251-8943
Practice Address - Street 1:7031 GRAND NATIONAL DR
Practice Address - Street 2:SUITE102
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8984
Practice Address - Country:US
Practice Address - Phone:407-252-0994
Practice Address - Fax:407-251-8943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7771101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty