Antonia Adams
Individual provider Active NPI Counselor · Baker, LA
NPI 1194176461 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1194176461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- PLPC7407 (LA)
- Practice address
- 410 Sherron Ave
Baker, LA 70714-4144 - Phone
- (225) 276-0637
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| PLPC7407 | LA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7407 | LA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | PLPC7407 | LA | Yes |
Addresses
Primary practice location
410 Sherron Ave
Baker, LA 70714-4144
Mailing address
6468 Lakeridge Dr
Zachary, LA 70791-7459
Phone (225) 480-7760
Other providers in Baker, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. 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.