Provider Demographics
NPI:1699075077
Name:ADAM BEHAVIORAL HEALTH CARE CONSULANTS INC
Entity type:Organization
Organization Name:ADAM BEHAVIORAL HEALTH CARE CONSULANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, LCAS, CIS
Authorized Official - Phone:252-435-3249
Mailing Address - Street 1:20 BATTERY PARK AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2879
Mailing Address - Country:US
Mailing Address - Phone:828-575-2056
Mailing Address - Fax:828-505-8547
Practice Address - Street 1:20 BATTERY PARK AVE STE 305
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2879
Practice Address - Country:US
Practice Address - Phone:828-575-2056
Practice Address - Fax:828-505-8547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6008307Medicaid