Healthcare Provider Details

I. General information

NPI: 1376417162
Provider Name (Legal Business Name): LISA ADAMS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2104 COLLIER CORPORATE PKWY
SAINT CHARLES MO
63303-6708
US

IV. Provider business mailing address

213 VICTORY LN
SAINT CHARLES MO
63303-8432
US

V. Phone/Fax

Practice location:
  • Phone: 314-643-9063
  • Fax:
Mailing address:
  • Phone: 314-610-8707
  • Fax: 636-699-1409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LISA ANN ADAMS
Title or Position: SOLE PROPRIETOR
Credential: LPC
Phone: 314-610-8707