Edmonson, Mary Gauden

Edmonson, Mary Gauden is an sole proprietor health care provider with primary practice located at 3443 Pelham Rd Ste 200 , Greenville SC 29615-4180. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Edmonson, Mary Gauden can be contacted via phone (864) 612-3004.

Contact Information

Primary practice address
3443 Pelham Rd Ste 200 Greenville SC 29615-4180
Phone: (864) 612-3004
Fax: (864) 558-0059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 721 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 5173PC South Carolina

Profile Details

NPI number 1881997914
LBN Legal business name Edmonson, Mary Gauden
Credentials MA, LPC, CAC II, LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2010
Last updated Jul 31st, 2019 - about 5 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.

Request for update

Popular Providers