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NPI Code Detail

MEDICARE: MICHAEL TRAVIS ADAMS LPCC

MEDICARE: MICHAEL TRAVIS ADAMS LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor248480KY
2101Y00000XCounselor248480KY

General Provider Information

NPI Number : 1851721732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL TRAVIS ADAMS LPCC
Provider Business Mailing Address
First Line : 2250 THUNDERSTICK DR STE 1104
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-9009
Country : US
Telephone Number : 859-254-1035
Fax Number : 859-254-2075
Provider Business Practice Location Address
First Line : 2250 THUNDERSTICK DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-9010
Country : US
Telephone Number : 859-254-1035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2013
Last Update Date : 05/13/2020

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Directions to “ MICHAEL TRAVIS ADAMS LPCC” Practice Location

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