Individual
LOUANNA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4204 SWEETWATER PKWY, ELLENWOOD, GA 30294-1554
(404) 438-2899
Mailing address
4204 SWEETWATER PKWY, ELLENWOOD, GA 30294-1554
(786) 382-0168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CSW005452
GA
102L00000X
Psychoanalyst
CSW005452
GA
1041C0700X
Clinical Social Worker
Primary
CSW005452
GA
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
CSW005452
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003162108C
—
GA
Enumeration date
06/10/2015
Last updated
06/28/2021
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