Healthcare Provider Details

I. General information

NPI: 1821933888
Provider Name (Legal Business Name): EMILY ANNE ADAMS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E SHEA BLVD STE 100
PHOENIX AZ
85028-3085
US

IV. Provider business mailing address

1025 E OREGON AVE
PHOENIX AZ
85014-2612
US

V. Phone/Fax

Practice location:
  • Phone: 602-529-6557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-23820
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: