Provider Demographics
NPI:1891493193
Name:ADAMS, PAUL MICHAEL III (TCM, BSW)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:MICHAEL
Last Name:ADAMS
Suffix:III
Gender:M
Credentials:TCM, BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 ESTER STREET, APT F, ASHLAND KY 41101, UNITED STAT
Mailing Address - Street 2:APT. F
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101
Mailing Address - Country:US
Mailing Address - Phone:606-369-8480
Mailing Address - Fax:
Practice Address - Street 1:271 W SHORT ST STE 508
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1214
Practice Address - Country:US
Practice Address - Phone:859-310-6505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker