EBONEE PERTRICE EDWARDS (NPI# 1093190050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093190050 |
| Entity Type | Individual |
| Full Name | EBONEE PERTRICE EDWARDS |
| Other Name | EBONEE PERTRICE EVANS |
| Credential | MS, CRC, LPCA |
| Practice Address |
1001 Reynolda Rd Winston Salem NC 27104-3245 |
| Mailing Address |
3282 Winding Branch Trl Winston Salem NC 27127-6151 |
| Practice Telephone | 3367217600 |
| Mailing Telephone | 3369707831 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
A11721 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1001 REYNOLDA RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024547 | Deanna La | Social Worker | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2020-05-17 |
| 1053968255 | Marysabel Vasquez | Marriage & Family Therapist | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2019-08-22 |
| 1013560309 | Kristina Lamb Beck | Counselor | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2019-07-17 |
| 1013571983 | Teyara Neshele Hudson | Social Worker | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2019-04-26 |
| 1538626544 | Ashley Hamby | Counselor | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2019-02-26 |
| 1912473356 | Rachel Tegowski | Marriage & Family Therapist | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2018-10-23 |
| 1538677356 | Weston Edward Smith | Counselor | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2018-01-15 |
| 1376098699 | Karen Arthur | Counselor | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2016-08-16 |
| 1386197002 | Heather Dunleavy | Marriage & Family Therapist | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2016-07-28 |
| 1700261237 | Nelitza Delisse Gonzalez | Counselor | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2015-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723301 | Open Hearts Healing Minds | Counselor | 2714 Henning Dr Ste 4, Winston Salem, NC 27106-4502 | 2020-06-02 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1568000610 | Lynn Bentley | Counselor | 4945 Century Oaks Ln, Winston Salem, NC 27106-8721 | 2019-12-18 |
| 1467007468 | Teresa Flake | Counselor | 605 W 24 1/2 St, Winston Salem, NC 27105-4904 | 2019-08-06 |
| 1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
| 1750888038 | Moore Ways To Success LLC | Counselor | 500 W 4th St Ste 203g, Winston Salem, NC 27101-2782 | 2018-04-12 |
| 1336643386 | Aileen Imana Lassiter | Counselor | 1462 Cherry St Apt 121, Winston Salem, NC 27105-5888 | 2018-03-22 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1538676481 | Aubrey Carr Wendelboe | Counselor | 3000 Bethesda Pl Ste 103, Winston Salem, NC 27103-3323 | 2018-01-01 |
| 1528508330 | Janell Lafaye Jordan | Counselor | 5354 Villas Dr, Winston Salem, NC 27103-6462 | 2017-02-27 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
Please comment or provide details below to improve the information on EBONEE PERTRICE EDWARDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.