Provider Demographics
NPI:1992450084
Name:ADKINS JAMES, TERESA ANN (LMHP)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:ANN
Last Name:ADKINS JAMES
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23204 AVACADO AVE
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33980-4859
Mailing Address - Country:US
Mailing Address - Phone:757-256-3233
Mailing Address - Fax:
Practice Address - Street 1:23204 AVACADO AVE
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33980-4859
Practice Address - Country:US
Practice Address - Phone:757-256-3233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19764101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor