Adam Antone | Valparaiso, IN • PECOS Search

Adam Antone

Counselor

Behavioral Health & Social Service Providers

2004 Valparaiso St, Valparaiso, IN 46383-3138

PECOS Enrollment

Based on the most recent information from CMS, provider Adam Antone does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1952912081
Provider Type
Individual
Full Name
Antone, Adam
Gender
Male

Sole Proprietor
No
Enumeration Date
8/12/2020
Last Updated
8/12/2020

Contact Information

Practice Location

2004 Valparaiso St, Valparaiso, IN 46383-3138

Unlisted Fax

Mailing Location

323 S Boo Rd Apt 201, Burns Harbor, IN 46304-0039

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer