Healthcare Provider Details

I. General information

NPI: 1467560102
Provider Name (Legal Business Name): ADAMS COUNSELING AND ASSESSMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PLAZA DR SUITE 6
PENDLETON IN
46064-8823
US

IV. Provider business mailing address

1 PLAZA DR SUITE 6
PENDLETON IN
46064-8823
US

V. Phone/Fax

Practice location:
  • Phone: 765-778-0380
  • Fax: 765-778-8328
Mailing address:
  • Phone: 765-778-0380
  • Fax: 765-778-8328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ROB ADAMS
Title or Position: OWNER
Credential: LCSW, NCSP
Phone: 765-778-0380