Provider Demographics
NPI:1326127366
Name:THE ADAMS CENTER FOR MIND & BODY LLC
Entity type:Organization
Organization Name:THE ADAMS CENTER FOR MIND & BODY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-859-1577
Mailing Address - Street 1:1233 SHELBURNE RD STE D2
Mailing Address - Street 2:PIERSON HOUSE D2
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7753
Mailing Address - Country:US
Mailing Address - Phone:802-859-1577
Mailing Address - Fax:802-859-1571
Practice Address - Street 1:1233 SHELBURNE RD STE D2
Practice Address - Street 2:PIERSON HOUSE D2
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7753
Practice Address - Country:US
Practice Address - Phone:802-859-1577
Practice Address - Fax:802-859-1571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 133V00000X, 1041C0700X
VT0470000633103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty