Individual provider · NPI-1

Louanna Adams, LCSW

Social Worker, Clinical · Ellenwood, GA

NPI number1033590658

StatusActive

Last updated in NPPESJun 28, 2021

Details

NPI: 1033590658
Entity type: Individual (NPI-1)
Name: Louanna Adams
Credential: LCSW
Sex: Female
Sole proprietor: Yes
Enumeration date: Jun 10, 2015
Certification date: Jun 28, 2021
Last updated: Jun 28, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	CSW005452	GA	Yes
101YM0800X	Counselor, Mental Health	CSW005452	GA
102L00000X	Psychoanalyst	CSW005452	GA
1041C0700X	Social Worker, Clinical	–	–
251S00000X	Community/Behavioral Health	CSW005452	GA

Practice location

4204 Sweetwater Pkwy
Ellenwood, GA 30294-1554

Phone 404-438-2899

Mailing address

4204 Sweetwater Pkwy
Ellenwood, GA 30294-1554

Phone 786-382-0168

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