1912278318 NPI number — THE COUNSELING SERVICES OF MICHAEL C. ADAMS & ASSOCIATES, PSC

Table of content: ROBERT DANIEL THURMAN MD (NPI 1336397124)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912278318 NPI number — THE COUNSELING SERVICES OF MICHAEL C. ADAMS & ASSOCIATES, PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE COUNSELING SERVICES OF MICHAEL C. ADAMS & ASSOCIATES, PSC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912278318
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/18/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7000 HOUSTON RD
Provider Second Line Business Mailing Address:
BUILDING 200, SUITE #15
Provider Business Mailing Address City Name:
FLORENCE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41042-4873
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-457-6853
Provider Business Mailing Address Fax Number:
859-525-8100

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7000 HOUSTON RD
Provider Second Line Business Practice Location Address:
BUILDING 200, SUITE #15
Provider Business Practice Location Address City Name:
FLORENCE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41042-4873
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-457-6853
Provider Business Practice Location Address Fax Number:
859-525-8100
Provider Enumeration Date:
01/18/2012

Additional Information

Authorized Official

Authorized Official Last Name:
ADAMS
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
CHRISTOPHER
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
859-457-6853

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  1116 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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