Healthcare Provider Details

I. General information

NPI: 1205181880
Provider Name (Legal Business Name): LAURIE ANN ADAMS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2012
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 MAYFIELD RD STE 203
MILTON GA
30009-3012
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 470-805-5040
  • Fax: 678-268-4550
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC010702
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: