| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ADAM ROBERT SMITH | 1902569908 | 2024-06-09 |
Adam Robert Smith is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1902569908. Registration indicates Adam Robert Smith is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Mr. Adam Robert Smith LPC |
| Practice Office Address | 3317 W 95TH ST STE 101 EVERGREEN PARK, IL US |
| Practice Office Telephone | 7085293011 |
| Mailing Address | 9319 S 49TH CT OAK LAWN, IL 604532507 US |
| Business Telephone | 6303739282 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 178.017408
IL |
| 193200000X MULT | Group Code |