Provider Demographics
NPI:1285999730
Name:ADAMCIK, ANGELA MARIE (LPC, LCMHC, CCTP)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MARIE
Last Name:ADAMCIK
Suffix:
Gender:F
Credentials:LPC, LCMHC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14413 LAKE CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-7648
Mailing Address - Country:US
Mailing Address - Phone:704-266-6148
Mailing Address - Fax:
Practice Address - Street 1:14413 LAKE CROSSING DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7648
Practice Address - Country:US
Practice Address - Phone:704-266-6148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7433101YM0800X
NCA9505101YM0800X
NC9505101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC9505OtherLPC
SC7433OtherLPC