Healthcare Provider Details

I. General information

NPI: 1245528835
Provider Name (Legal Business Name): CATHERINE ADAMS M.S., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2011
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 ROCKBRIDGE RD
STONE MOUNTAIN GA
30087-3103
US

IV. Provider business mailing address

4940 LAKEBROOKE RUN
STONE MOUNTAIN GA
30087-3494
US

V. Phone/Fax

Practice location:
  • Phone: 678-548-4628
  • Fax: 877-395-0713
Mailing address:
  • Phone: 770-740-9265
  • Fax: 770-740-9265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC006432
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: