Provider Demographics
NPI:1699832931
Name:ADKINS, DAVID O C (LPC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:O C
Last Name:ADKINS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 NW RAILROAD AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-3278
Mailing Address - Country:US
Mailing Address - Phone:985-345-8363
Mailing Address - Fax:985-662-3944
Practice Address - Street 1:201 NW RAILROAD AVE STE 308
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-3278
Practice Address - Country:US
Practice Address - Phone:985-345-8363
Practice Address - Fax:985-662-3944
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA653106H00000X
LA113101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist