Provider Demographics
NPI:1992037006
Name:ADAMS & ASSOCIATES COUNSELING SERVICES, PC
Entity Type:Organization
Organization Name:ADAMS & ASSOCIATES COUNSELING SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:814-471-9210
Mailing Address - Street 1:171 LOVELL AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-1855
Mailing Address - Country:US
Mailing Address - Phone:814-471-9210
Mailing Address - Fax:814-471-2988
Practice Address - Street 1:171 LOVELL AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-1855
Practice Address - Country:US
Practice Address - Phone:814-471-9210
Practice Address - Fax:814-471-2988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0133301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
S88855Medicare UPIN
031265Medicare PIN