Edwards, Ebony
Edwards, Ebony is an sole proprietor health care provider with primary practice located at 6100 Radio Station Road , La Plata MD 20646-2984. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Edwards, Ebony can be contacted via phone (301) 609-9887.Contact Information
Primary practice address
6100 Radio Station Road
La Plata MD 20646-2984
Phone: (301) 609-9887
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LGM466 | Maryland |
Profile Details
| NPI number | 1669801247 |
|---|---|
| LBN Legal business name | Edwards, Ebony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2013 |
| Last updated | Nov 5th, 2013 - about 13 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 | 1669801247 | NPPES |
| Maryland | MEDICAID | 589561800 |
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