Provider Demographics
NPI:1558500512
Name:ADKINS, BETH YVONNE (MS, LCPC)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:YVONNE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14456 OLD MILL RD
Mailing Address - Street 2:SUITE #201
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-2885
Mailing Address - Country:US
Mailing Address - Phone:240-510-5768
Mailing Address - Fax:240-510-5768
Practice Address - Street 1:14456 OLD MILL RD
Practice Address - Street 2:SUITE #201
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-2885
Practice Address - Country:US
Practice Address - Phone:240-510-5768
Practice Address - Fax:240-510-5768
Is Sole Proprietor?:No
Enumeration Date:2009-02-16
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2883101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD11908434OtherCAQH