MS. BRENDA J EDWARDS


Address: 1882 Princeton Ave, Suite 9, College Park, GA 30337-3537
Phone: 4049646541

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 882686878A 05

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Office Location

Street Address 1882 PRINCETON AVE
SUITE 9
City COLLEGE PARK
State GA
Zip Code 30337-3537

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City COLLEGE PARK
Zip Code 30337

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Dataset Information

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.

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