Provider Demographics
NPI:1881327898
Name:SUSAN ADAMS COUNSELING, LLC
Entity type:Organization
Organization Name:SUSAN ADAMS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:440-320-3396
Mailing Address - Street 1:2003 AQUA MARINE BLVD # 354
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-2634
Mailing Address - Country:US
Mailing Address - Phone:440-320-3396
Mailing Address - Fax:
Practice Address - Street 1:14900 DETROIT AVE STE 306
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3922
Practice Address - Country:US
Practice Address - Phone:440-482-7806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health