Edwards, Brenda J
Edwards, Brenda J is an sole proprietor health care provider with primary practice located at 1882 Princeton Ave Suite 9, College Park GA 30337-3537. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Edwards, Brenda J can be contacted via phone (404) 964-6541.Contact Information
Primary practice address
1882 Princeton Ave Suite 9
College Park GA 30337-3537
Phone: (404) 964-6541
Fax: (888) 811-6764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 203335 | Georgia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC005536 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC005536 | Georgia |
Profile Details
| NPI number | 1154558526 |
|---|---|
| LBN Legal business name | Edwards, Brenda J |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2009 |
| Last updated | Feb 12th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154558526 | NPPES |
| Georgia | MEDICAID | 882686878A |
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