Provider Demographics
NPI:1609072057
Name:ADAMS, ESSIE HOOPER (MED)
Entity type:Individual
Prefix:MRS
First Name:ESSIE
Middle Name:HOOPER
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1683 US HIGHWAY 49 W
Mailing Address - Street 2:
Mailing Address - City:TUTWILER
Mailing Address - State:MS
Mailing Address - Zip Code:38963-5253
Mailing Address - Country:US
Mailing Address - Phone:662-902-0725
Mailing Address - Fax:
Practice Address - Street 1:519 BEAVER DAM ROAD
Practice Address - Street 2:
Practice Address - City:TUTWILER
Practice Address - State:MS
Practice Address - Zip Code:38963
Practice Address - Country:US
Practice Address - Phone:662-902-0725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health