Healthcare Provider Details

I. General information

NPI: 1831479773
Provider Name (Legal Business Name): FRANCESCO G ADAMO LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2011
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2047 CRISMAN RD
PORTAGE IN
46368-1612
US

IV. Provider business mailing address

PO BOX 2257
CHESTERTON IN
46304-0357
US

V. Phone/Fax

Practice location:
  • Phone: 317-565-7328
  • Fax:
Mailing address:
  • Phone: 317-565-7328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39004940A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: