Provider Demographics
NPI:1609430701
Name:ADAMS, HALLELUJAH AIMEE (LMFT)
Entity Type:Individual
Prefix:
First Name:HALLELUJAH
Middle Name:AIMEE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 QUINTANA RD # 618
Mailing Address - Street 2:
Mailing Address - City:MORRO BAY
Mailing Address - State:CA
Mailing Address - Zip Code:93442-1943
Mailing Address - Country:US
Mailing Address - Phone:805-316-1341
Mailing Address - Fax:
Practice Address - Street 1:785 QUINTANA RD #618
Practice Address - Street 2:
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-9344
Practice Address - Country:US
Practice Address - Phone:805-316-1341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA134324106H00000X
390200000X
CAAMFT119034106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program