Healthcare Provider Details

I. General information

NPI: 1285087965
Provider Name (Legal Business Name): DELLA ADKINS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 10/26/2022
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 CENTER RD
VENICE FL
34285-5501
US

IV. Provider business mailing address

1900 TANGELO CIR
ENGLEWOOD FL
34223-1541
US

V. Phone/Fax

Practice location:
  • Phone: 740-388-8567
  • Fax: 740-388-8566
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1800745
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: