Provider Demographics
NPI:1710097894
Name:ADKINS, TERESA D (LPCC)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:D
Last Name:ADKINS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 HOMESTEAD ESTATES LN
Mailing Address - Street 2:
Mailing Address - City:TUTOR KEY
Mailing Address - State:KY
Mailing Address - Zip Code:41263-8748
Mailing Address - Country:US
Mailing Address - Phone:606-875-4304
Mailing Address - Fax:606-788-7076
Practice Address - Street 1:5659 MAIN ST
Practice Address - Street 2:
Practice Address - City:THELMA
Practice Address - State:KY
Practice Address - Zip Code:41260-8609
Practice Address - Country:US
Practice Address - Phone:606-788-7080
Practice Address - Fax:606-788-7076
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY104639101YP2500X
KYKY-0907101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional