Laura Adams, LPC

Individual provider Active NPI Professional Counselor · Forsyth, GA

NPI 1780149021 · NPPES record last updated Jan 31, 2019

Key facts

NPI
1780149021
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
008352 (GA)
Practice address
24 Oakridge Ter
Forsyth, GA 31029-9514
Phone
(478) 447-0955
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
008352GAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X 008352 GA Yes

Addresses

Primary practice location

24 Oakridge Ter
Forsyth, GA 31029-9514

Mailing address

24 Oakridge Ter
Forsyth, GA 31029-9514
Phone (478) 447-0955

Other providers in Forsyth, GA

All providers in Forsyth, GA · Professional Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.