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General NPI Number Information
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NPI Number | 1447680525
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Entity Type | Organization
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Legal Business Name | SUSANN ADAMS RN BSN PMHNP-BC PLLC
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 4511 STONEWALL ST
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City | GREENVILLE
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State | TX
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Zip | 75401-5951
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Country | US
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Telephone | 903-454-7200
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Fax | 903-454-7204
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Provider Business Mailing Address
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Address Line | 4511 STONEWALL ST
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City | GREENVILLE
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State | TX
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Zip | 75401-5951
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Country | US
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Telephone | 903-454-7200
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Fax | 903-454-7204
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Authorized Official
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Title or Position | PMHNP
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Name | SUSANN DALE ADAMS
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Credential |
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Telephone | 903-454-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 453852
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License Number State | TX
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