Edwards, Ethel L

Edwards, Ethel L is an sole proprietor health care provider with primary practice located at 7300 Blanco Rd Suite 501, San Antonio TX 78216-4936. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Edwards, Ethel L can be contacted via phone (210) 446-8255.

Contact Information

Primary practice address
7300 Blanco Rd Suite 501 San Antonio TX 78216-4936
Phone: (210) 446-8255
Fax: (888) 823-3497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4046 Texas
Behavioral Health & Social Service Providers / Social Worker 104100000X 06246 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 281 Texas

Profile Details

NPI number 1184895062
LBN Legal business name Edwards, Ethel L
Credentials LMFT, LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2008
Last updated Sep 29th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184895062 NPPES
Texas MEDICAID 71110303

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