Basic Information
| Provider Information | |||||||||
| NPI: | 1851877252 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AMELIA ADAMS COUNSELING SERVICES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1643 SLAUGHTER RD | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357588692 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2568958148 | ||||||||
| FaxNumber: | 2564898148 | ||||||||
| Practice Location | |||||||||
| Address1: | 1643 SLAUGHTER RD | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357588692 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2568958148 | ||||||||
| FaxNumber: | 2564898148 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2018 | ||||||||
| LastUpdateDate: | 07/18/2018 | ||||||||
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| AuthorizedOfficialLastName: | ADAMS | ||||||||
| AuthorizedOfficialFirstName: | AMELIA | ||||||||
| AuthorizedOfficialMiddleName: | MAREL | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 2568958148 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | LPC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0850X | 1586 | AL | Y | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
No ID Information.