Healthcare Provider Details

I. General information

NPI: 1043141435
Provider Name (Legal Business Name): LASHONDA DANNIELLE ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3665 BAY RD
SAGINAW MI
48603-2445
US

IV. Provider business mailing address

2965 REPPUHN DR
SAGINAW MI
48603-3179
US

V. Phone/Fax

Practice location:
  • Phone: 989-385-1468
  • Fax:
Mailing address:
  • Phone: 989-385-1468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024593
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: