IndividualActive
Adam Petty, LAC
NPI 1003332578 · Mental Health Counselor · Phoenix, AZ
Provider details
- NPI number
- 1003332578
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- No
- License
- LAC-16151 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1825 E Northern Ave Ste 215
Phoenix, AZ 85020-3940
Phone: (480) 360-5484
Approximate (ZIP-level) locationGet directions
Mailing address
2618 E Geneva Dr
Tempe, AZ 85282-4152
Registry dates
- Enumerated
- 2017-08-16
- Last updated
- 2017-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.