Provider Demographics
NPI:1336278019
Name:ADAMS, ROBERT FERRIS (LMFT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FERRIS
Last Name:ADAMS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:783 E SEMINOLE DR
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:GA
Mailing Address - Zip Code:31008-4131
Mailing Address - Country:US
Mailing Address - Phone:478-956-3904
Mailing Address - Fax:478-922-8010
Practice Address - Street 1:479 HWY 96
Practice Address - Street 2:
Practice Address - City:BONAIRE
Practice Address - State:GA
Practice Address - Zip Code:31005
Practice Address - Country:US
Practice Address - Phone:478-922-0063
Practice Address - Fax:478-922-8010
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT000106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist