Healthcare Provider Details

I. General information

NPI: 1184567216
Provider Name (Legal Business Name): NOAH ADAIR LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 12TH ST STE 518
COLUMBUS GA
31901-2462
US

IV. Provider business mailing address

1015 TYRONE RD STE 710
TYRONE GA
30290-2455
US

V. Phone/Fax

Practice location:
  • Phone: 706-801-9713
  • Fax:
Mailing address:
  • Phone: 770-468-3326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC016656
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: