Provider Demographics
NPI:1063040368
Name:ADAMS, OLIVIA MARIE (LPC, CSAC)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:MARIE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 BOULDER SPRINGS DR APT C6
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5524
Mailing Address - Country:US
Mailing Address - Phone:804-350-1962
Mailing Address - Fax:
Practice Address - Street 1:422 E FRANKLIN ST STE 105
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-2226
Practice Address - Country:US
Practice Address - Phone:804-350-1962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009001101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional