MS. BRENDA J EDWARDS (NPI# 1154558526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154558526 |
Entity Type | Individual |
Full Name | MS. BRENDA J EDWARDS |
Credential | LPC |
Practice Address |
1882 Princeton Ave Suite 9 College Park GA 30337-3537 |
Practice Telephone | 4049646541 |
Practice Fax Number | 8888116764 |
Mailing Telephone | 4049646541 |
Mailing Fax Number | 8888116764 |
Enumeration Date | 2009-06-12 |
Last Update Date | 2014-02-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
203335 | GA | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC005536 | GA | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC005536 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 882686878A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831733328 | Brenda Edwards | Social Worker | 5959 Harry Hines Blvd # Hp8.110, Dallas, TX 75235-6234 | 2019-10-29 |
1033493796 | Brenda R Edwards | Counselor | 30611 W County Road 1230, Stigler, OK 74462-1762 | 2011-09-29 |
1760503031 | Brenda Edwards | Social Worker | 2129 Tudor Castle Way, Decatur, GA 30035-2165 | 2007-04-03 |
1033290374 | Brenda Jean Edwards | Counselor | Rr 2 Box 67, Hydro, OK 73048-9442 | 2006-10-17 |
1548871254 | Brenda Edwards | Physical Therapy Assistant | 9 Balmoral Dr Ste A, Poplarville, MS 39470-3344 | 2020-08-14 |
1336787423 | Brenda Ann Edwards | Licensed Vocational Nurse | 4444 Corona Dr Ste 107, Corpus Christi, TX 78411-4374 | 2019-12-19 |
1528490182 | Brenda Girven Edwards | Counselor | 3049 Cleveland Ave, Fort Myers, FL 33901-7041 | 2013-08-06 |
1669644035 | Brenda Edwards | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216 | 2008-03-26 |
1518999291 | Brenda Christine Edwards | Optometrist | 8901 W 74th St, Suite 285, Shawnee Mission, KS 66204-2204 | 2006-07-06 |
Street Address |
1882 PRINCETON AVE SUITE 9 |
City | COLLEGE PARK |
State | GA |
Zip Code | 30337-3537 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215371356 | Tangaleria Jones Kelly | Counselor | 1882 Princeton Ave, Ste 9a, College Park, GA 30337-3537 | 2013-04-19 |
1043653785 | Rgs & Associates Counseling Services LLC | Case Management | 1882 Princeton Ave, Suite 4, College Park, GA 30337-3537 | 2013-04-11 |
1033462270 | Tamara Brown Payne | Counselor | 1882 Princeton Ave, Suite 9, College Park, GA 30337-3537 | 2012-10-25 |
1245542182 | Golden Beginnings, Inc | Counselor | 1882 Princeton Ave, Suite 9, College Park, GA 30337-3537 | 2010-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194360768 | Advant Therapy Services LLC | Speech-Language Pathologist | 4827 Old National Hwy, Pmb 1619, College Park, GA 30337 | 2019-11-07 |
1093288318 | Kevin Ramone Larkins | Counselor | 191 John Wesley Ave, College Park, GA 30337 | 2019-01-09 |
1013482553 | Michael Uchenna Okenchi | Nurse Practitioner | 3715 Atlanta St, Atlanta, GA 30337 | 2018-10-11 |
1962993436 | Bridges of Success, Inc. | Counselor | 3707 Main St, #10, College Park, GA 30337 | 2018-05-21 |
1427568245 | Andrienne Ignatia Terrell | Specialist/Technologist | 600 N Terminal Hartsfield-jackson Airport, Atlanta, GA 30337 | 2017-10-06 |
1710408745 | Tiffany Godwin | Specialist/Technologist | 600 N Terminal Hartsfield-jackon International Airport, Atlanta, GA 30337 | 2017-06-29 |
1104288240 | Susan Elizabeth Northrup | Preventive Medicine | 1701 Columbia Avenue, Federal Aviation Administration, Aso-300, College Park, GA 30337 | 2016-03-28 |
1689061301 | Jayne' Green | Counselor | 1919 John Wesley Ave., College Park, GA 30337 | 2015-04-21 |
1023412897 | Progressive Health Aviation Services | Clinic/Center | 600 N Terminal, Hartsfield-jackson Atlanta International Airport, Atlanta, GA 30337 | 2014-10-22 |
1578805453 | Talib El | Counselor | 2615 Roosevelt Highway, Atlanta, GA 30337 | 2013-03-19 |
Find all providers in zip 30337 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
1245719426 | Antonia Lamoi Taylor | Counselor | 2459 Roosevelt Hwy # B1516, College Park, GA 30337-5512 | 2018-08-09 |
1174029441 | Sticks In A Bundle Mentoring & Outreach, LLC | Counselor | 1865 Harvard Ave, College Park, GA 30337-3526 | 2018-04-04 |
1972850790 | Felicia R Perry | Counselor | 2245 Godby Rd Ste 102/104, College Park, GA 30349-5060 | 2012-08-10 |
1265721567 | Angela Peoples | Counselor | 5101 Buffington Rd, Ste 3445, College Park, GA 30349-2922 | 2011-04-07 |
1154656023 | Nicole Patrich Davis | Counselor | 1862 Princeton Ave # 206, College Park, GA 30337-3519 | 2009-10-12 |
1093048324 | Steven Snook, Ph.d., LLC | Counselor | 1651 Phoenix Blvd Ste 2, College Park, GA 30349-5552 | 2009-09-18 |
1467684456 | Lisa Andrews | Counselor | 1651 Phoenix Blvd, Suite 2, College Park, GA 30349-5552 | 2009-08-10 |
1720274632 | Judith Ann Johnson X | Counselor | 10201 Baltimore Ave, Apt # 1503, College Park, MD 20740-4216 | 2007-09-25 |
1316066673 | Felicia Jones Jenkins | Counselor | 5538 Old National Hwy, 350, College Park, GA 30349-3278 | 2007-03-28 |
Find all providers in COLLEGE PARK |
City | COLLEGE PARK |
Zip Code | 30337 |
Please comment or provide details below to improve the information on MS. BRENDA J 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.