MEDICARE: MR. ADAM W GARRETT SR. CIT, MS, BS, CPE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP1600X	Pastoral Counselor		LA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CIT-6043	LA

General Provider Information

NPI Number	:	1710838677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ADAM W GARRETT SR. CIT, MS, BS, CPE

Provider Business Mailing Address
First Line	:	1105 GENERAL MOUTON AVE
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-8529
Country	:	US
Telephone Number	:	337-534-4111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 GENERAL MOUTON AVE
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-8529
Country	:	US
Telephone Number	:	337-534-4111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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