Individual provider · NPI-1

Heather Adame, PhD

Psychologist, Health Service · Charleston, SC

NPI number1962028100
StatusActive
Last updated in NPPESApr 6, 2024

Details

NPI
1962028100
Entity type
Individual (NPI-1)
Name
Heather Adame
Credential
PhD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 23, 2020
Certification date
Apr 6, 2024
Last updated
Apr 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TH0100X Psychologist, Health Service––Yes
103T00000X Psychologist––
101YP2500X Counselor, ProfessionalLPC.0015054CO

Practice location

171 Ashley Ave
Charleston, SC 29425-5866

Phone 843-792-1414

Mailing address

1001 Blythe Blvd
Charlotte, NC 28203-5866

Other practice locations

1001 Blythe Blvd
Charlotte, NC 28203-5866

Phone 406-544-5529

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