| Doctor Name: | MRS. ELLEN KUBAY ADKINS |
| NPI Number: | 1053460246 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW IMFT |
| License Number: | I375 |
| Business Practice Address: | 77 W Elmwood Dr Suite 116 Centerville Finance, OH - 454594239 |
| Business Phone Number: | 9374334430 |
| Business Fax Number: | |
| Mailing Address: | 342 Orton Rd, YELLOW SPRINGS |
| State: | OH |
| Postal Code: | 453871321 |
| Phone Number: | 9374334430 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I375 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |