Provider Demographics
NPI:1760778658
Name:ADKINS, BETH HARTSELL (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:HARTSELL
Last Name:ADKINS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3247 STEIN ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-5829
Mailing Address - Country:US
Mailing Address - Phone:251-591-4992
Mailing Address - Fax:251-479-4889
Practice Address - Street 1:3247 STEIN ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-5829
Practice Address - Country:US
Practice Address - Phone:251-591-4992
Practice Address - Fax:251-479-4889
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1772101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health