MEDICARE: MR. ROBERT ADAM CALVERT LPC-S, CSAT-S

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	101YM0800X	Mental Health Counselor	1961	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831214519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT ADAM CALVERT LPC-S, CSAT-S

Provider Business Mailing Address
First Line	:	402 OFFICE PARK DR STE 290
Second Line	:
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35223-3100
Country	:	US
Telephone Number	:	205-918-6161
Fax Number	:	888-972-6921

Provider Business Practice Location Address
First Line	:	402 OFFICE PARK DR
Second Line	:	SUITE 300B
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35223-2417
Country	:	US
Telephone Number	:	205-918-6161
Fax Number	:	888-972-6921

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	03/02/2026

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