IndividualActive
Adam Ridenhour, MDIV, MA, LPCA
NPI 1689189011 · Professional Counselor · Bermuda Run, NC
Provider details
- NPI number
- 1689189011
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MDIV, MA, LPCA
- Sex
- Male
- Sole proprietor
- No
- License
- A13035 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
329 Nc Highway 801 N
Bermuda Run, NC 27006-7905
Phone: (336) 716-0855
Fax: (336) 716-0822
Approximate (ZIP-level) locationGet directions
Mailing address
403 South Hawthorne Rd
Winston Salem, NC 27157-1097
Registry dates
- Enumerated
- 2017-12-07
- Last updated
- 2017-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.