Albertha J Adcock, CAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lake Charles, LA
NPI 1184896763 · NPPES record last updated Aug 4, 2022
Key facts
- NPI
- 1184896763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1293 (LA)
- Practice address
- 4105 Kirkman St
Lake Charles, LA 70607-4603 - Phone
- (337) 475-8022
- Fax
- (337) 475-8054
- NPI assigned
- Mar 24, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1293 | LA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Calcasieu Human Services Authority | Past | Accepting new patients | |
| Palmetto Addiction Recovery Center, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1293 | LA | Yes |
Addresses
Primary practice location
4105 Kirkman St
Lake Charles, LA 70607-4603
Mailing address
1851 Fox Run Dr Apt 1
Lake Charles, LA 70605-6421
Phone (337) 794-7237
Other providers in Lake Charles, LA
- Heather Smith Adams
- Jason W Adams
- Jessica McQuiston Adams
- Lynn Adams
- Michael Shelton Adams
- Emilie Anne Adekanbi
- Ashton Adekunle Adekanmbi
- Wasilat A Adeoluwa
- Anthony K Adeosun
- Advanced Medical & Diagnostic Center
All providers in Lake Charles, LA · Addiction (Substance Use Disorder) Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.