Healthcare Provider Details

I. General information

NPI: 1992037006
Provider Name (Legal Business Name): ADAMS & ASSOCIATES COUNSELING SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2010
Last Update Date: 05/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 LOVELL AVE SUITE 103
EBENSBURG PA
15931-1855
US

IV. Provider business mailing address

171 LOVELL AVE SUITE 103
EBENSBURG PA
15931-1855
US

V. Phone/Fax

Practice location:
  • Phone: 814-471-9210
  • Fax: 814-471-2988
Mailing address:
  • Phone: 814-471-9210
  • Fax: 814-471-2988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW013330
License Number StatePA

VIII. Authorized Official

Name: TERESA L ADAMS
Title or Position: OWNER
Credential: LCSW
Phone: 814-471-9210