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General NPI Number Information
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NPI Number | 1376038224
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Entity Type | Organization
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Legal Business Name | ADAMS COUNSELING SERVICE PLLC
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Dates
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Enumeration Date | 06/23/2018
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Last Update Date | 04/19/2019
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Provider Practice Location Address
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Address Line | 3623 LATROBE DR STE 110A-1
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City | CHARLOTTE
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State | NC
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Zip | 28211-4864
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Country | US
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Telephone | 980-875-8332
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Fax | 866-321-7379
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Provider Business Mailing Address
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Address Line | PO BOX 644
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City | HUNTERSVILLE
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State | NC
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Zip | 28070-0644
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Country | US
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Telephone | 980-875-8332
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Fax | 866-321-7379
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Authorized Official
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Title or Position | OWNER
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Name | ELLEN ADAMS
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Credential | LCSW, LCASA
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Telephone | 980-875-8332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | C007087
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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