Edmonds, Keith Wilson
Edmonds, Keith Wilson is an sole proprietor health care provider with primary practice located at 3604 Wheeler Rd Ste A1 , Augusta GA 30909-6562. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Edmonds, Keith Wilson can be contacted via phone (706) 951-7644.Contact Information
Primary practice address
3604 Wheeler Rd Ste A1
Augusta GA 30909-6562
Phone: (706) 951-7644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC004579 | Georgia |
Profile Details
| NPI number | 1073844395 |
|---|---|
| LBN Legal business name | Edmonds, Keith Wilson |
| Credentials | ED.D., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2010 |
| Last updated | May 6th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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