Healthcare Provider Details

I. General information

NPI: 1346370269
Provider Name (Legal Business Name): WILLIAM A ADAMS LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BILLY ADAMS LPC

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 05/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 HORIZON PARK DR STE A
SUWANEE GA
30024-7256
US

IV. Provider business mailing address

1806 JIMMY DODD RD
BUFORD GA
30518-2220
US

V. Phone/Fax

Practice location:
  • Phone: 770-271-8989
  • Fax: 770-932-8297
Mailing address:
  • Phone: 770-271-8989
  • Fax: 770-932-8297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC004139
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: