Provider Demographics
NPI:1861816522
Name:ADAMS, CONSTANTS (LPC)
Entity Type:Individual
Prefix:
First Name:CONSTANTS
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 FOREST DR
Mailing Address - Street 2:C 101
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-4146
Mailing Address - Country:US
Mailing Address - Phone:803-403-8469
Mailing Address - Fax:803-403-9979
Practice Address - Street 1:3800 FOREST DR
Practice Address - Street 2:C 101
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-4146
Practice Address - Country:US
Practice Address - Phone:803-403-8469
Practice Address - Fax:803-403-9979
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5649101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty