Healthcare Provider Details

I. General information

NPI: 1609787761
Provider Name (Legal Business Name): LEAH ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

489 WASHINGTON ST STE 102
AUBURN MA
01501-5709
US

IV. Provider business mailing address

153 MILLBURY ST
GRAFTON MA
01519-1017
US

V. Phone/Fax

Practice location:
  • Phone: 508-297-9728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: