Leo Adams

Individual provider Active NPI Mental Health Counselor · Hernando, MS

NPI 1396028239 · NPPES record last updated Sep 27, 2011

Key facts

NPI
1396028239
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
2725 Highway 51 S
Hernando, MS 38632-2634
Phone
(662) 449-1808
Fax
(662) 449-1811
NPI assigned
Sep 27, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

2725 Highway 51 S
Hernando, MS 38632-2634

Mailing address

PO Box 839
Corinth, MS 38835-0839
Phone (662) 286-9883

Other providers in Hernando, MS

All providers in Hernando, MS · Mental Health Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.