Provider Demographics
NPI:1821534496
Name:ADAMS, SHARI (LMHC)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 E HIGHWAY 20 STE 306
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-7703
Mailing Address - Country:US
Mailing Address - Phone:850-897-7810
Mailing Address - Fax:
Practice Address - Street 1:4400 E HIGHWAY 20 STE 306
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-7703
Practice Address - Country:US
Practice Address - Phone:850-897-7810
Practice Address - Fax:850-897-0032
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14740101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health