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Contact Information

LISA L ADAMS, LCMHCS, LCAS
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC28262-6001
 Phone: 336-937-0331
 Fax: 877-595-1857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for LISA L ADAMS · (Female)

NPI # 1811154693
Status Active
Credentials LCMHCS, LCAS
Entity Individual
Enumeration date 05/20/2008
Last updated 09/22/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 4933
  • NC Medicaid 6104366
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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