Provider Demographics
NPI:1578238408
Name:ADAMS, LENA NICOLE
Entity Type:Individual
Prefix:MISS
First Name:LENA
Middle Name:NICOLE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LENA
Other - Middle Name:NICOLE
Other - Last Name:PEARCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1210 ALDERSGATE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6606
Mailing Address - Country:US
Mailing Address - Phone:501-246-3450
Mailing Address - Fax:
Practice Address - Street 1:1210 ALDERSGATE RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6606
Practice Address - Country:US
Practice Address - Phone:501-246-3450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician