IndividualActive
Adam Pancake, LPC
NPI 1619933694 · Mental Health Counselor · Lagrange, GA
Provider details
- NPI number
- 1619933694
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 003451 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
300 Medical Dr
Suite 705
Lagrange, GA 30240-4130
Phone: (706) 885-0111
Fax: (706) 885-0607
Approximate (ZIP-level) locationGet directions
Mailing address
300 Medical Dr
Lagrange, GA 30240-4130
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2008-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.