MEDICARE: KAMIKIA ADAMS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	171400000X	Health & Wellness Coach
3	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1902549470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMIKIA ADAMS

Provider Business Mailing Address
First Line	:	6216 FORT WORTH ST
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89081-6622
Country	:	US
Telephone Number	:	725-726-0242
Fax Number	:

Provider Business Practice Location Address
First Line	:	6216 FORT WORTH ST
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89081-6622
Country	:	US
Telephone Number	:	725-726-0242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	04/13/2022

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Directions to “ KAMIKIA ADAMS ” Practice Location

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