Edwards, Stephanie Danielle

Edwards, Stephanie Danielle is an individual health care provider with primary practice located at 380 Suwannee Trail St , Bowling Green KY 42103-7956. She recently has 2 registered licenses in different health care specialties including 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, Stephanie Danielle can be contacted via phone (270) 901-5000.

Contact Information

Primary practice address
380 Suwannee Trail St Bowling Green KY 42103-7956
Phone: (270) 901-5000
Fax: (270) 842-5268
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 104235 Kentucky

Profile Details

NPI number 1750660650
LBN Legal business name Edwards, Stephanie Danielle
Credentials LPCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Nov 21st, 2023 - about last year

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 1750660650 NPPES
Kentucky MEDICAID 7100289610

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