Amy Adams
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ely, NV
NPI 1619219920 · NPPES record last updated Mar 30, 2017
Key facts
- NPI
- 1619219920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 0085-I (NV)
- Practice address
- 399 1St St
Ely, NV 89301-1988 - Phone
- (775) 289-4905
- Fax
- (775) 289-4898
- NPI assigned
- Mar 25, 2013
- 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 |
|---|---|---|---|
| 0085-I | NV | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0085-I | NV | Yes |
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
399 1St St
Ely, NV 89301-1988
Mailing address
PO Box 151103
Ely, NV 89315-1103
Phone (775) 289-4905
Other providers in Ely, NV
All providers in Ely, NV · Addiction (Substance Use Disorder) Counselor in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2017. 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.