Doctor Name: | MRS. SHELLY J. ADAMSON |
NPI Number: | 1003928714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LMHC, NCC |
License Number: | MH5898 |
Business Practice Address: | 3740 Curtis Blvd Suite 102 Cocoa, FL - 329273962 |
Business Phone Number: | 3216329929 |
Business Fax Number: | 3216316187 |
Mailing Address: | 4760 Calamondin Ave, COCOA |
State: | FL |
Postal Code: | 329262018 |
Phone Number: | 3216326891 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH5898 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |