DEBORAH KAYE EDWARDS


Address: 5016 N Illinois St, Suite A, Fairview Heights, IL 62208-3411
Phone: 6183987250

DEBORAH KAYE EDWARDS (NPI# 1366802514) 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) 1366802514
Entity Type Individual
Full Name DEBORAH KAYE EDWARDS
Credential PLPC
Practice Address 5016 N Illinois St
Suite A
Fairview Heights
IL 62208-3411
Practice Telephone 6183987250
Practice Fax Number 6182346311
Mailing Telephone 6183987250
Mailing Fax Number 6182346311
Enumeration Date 2016-03-01
Last Update Date 2016-03-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
178011822 IL Behavioral Health & Social Service Providers

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Office Location

Street Address 5016 N ILLINOIS ST
SUITE A
City FAIRVIEW HEIGHTS
State IL
Zip Code 62208-3411

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417407081 Michele L Vining Counselor 5016 N Illinois St, Suite A, Fairview Heights, IL 62208-3411 2016-10-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740829647 Stephanie Lynn Arzavala-reed Counselor 8.5 Canty Lane, Fairview Heights, IL 62208 2019-12-26
1649822156 Preferred Behavioral Health Community/Behavioral Health 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 2019-07-15
1164929055 Itic Support Services Inc Psychiatry & Neurology 141 Market Pl Ste 100, Fairview Heights, IL 62208 2018-04-09
1023525102 Karen E. Reinacher Speech-Language Pathologist 21 Circle Dr., Fairview Heights, IL 62208 2018-01-10
1316465297 Rachel Moser Behavioral Analyst 9510 St. Clair Ave, Fairview Heights, IL 62208 2017-08-31
1952826471 Tomika Eiland Social Worker 413 David Dr, Fairview Heights, IL 62208 2017-08-05
1194113852 Rachel Logan Social Worker 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 2015-01-05
1255746715 Center for Advanced Medicine LLC Internal Medicine 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 2014-06-24
1033463393 Katherine Johnson I Physical Therapy Assistant 320 N Ruby Ln, Fairview Heights, IL 62208 2012-11-07
1508118779 Nicole Kovacic Physical Therapy Assistant 5501 Perrin Drive, Fairview Heights, IL 62208 2012-10-11
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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
1275168239 Sound Mind Counseling LLC Counselor 8 1/2 Canty Ln, Fairview Heights, IL 62208-2624 2020-03-10
1740829647 Stephanie Lynn Arzavala-reed Counselor 8.5 Canty Lane, Fairview Heights, IL 62208 2019-12-26
1114078359 Lois Devonald Erickson Counselor 113 Lakeland Hills Dr, Fairview Heights, IL 62208-3434 2007-01-15
1124065602 Jeanette W Georgen Counselor 10314 Lincoln Trl, Suite 101, Fairview Heights, IL 62208-1801 2006-06-01
1417407081 Michele L Vining Counselor 5016 N Illinois St, Suite A, Fairview Heights, IL 62208-3411 2016-10-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457952194 Hope Kravetz Counselor 815 Belinder Ln, Schaumburg, IL 60173-6360 2020-11-07
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1043810393 Pamela Kranyak Counselor 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 2020-10-27
1831798404 Erin Frasco Counselor 622 Davis St # 200, Evanston, IL 60201-4491 2020-10-23
1568061224 Alternative Counseling Solutions, Inc Counselor 6469 E Mccormick Rd, Stillman Valley, IL 61084-9736 2020-10-22
1396344537 Janet M Wills Counselor 223 N Prospect Ave, Streamwood, IL 60107-4103 2020-10-19
1225637614 Sharice Ellenwood Counselor 1087 N Village Dr, Round Lake Beach, IL 60073 2020-10-18
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Competitor

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City FAIRVIEW HEIGHTS
Zip Code 62208

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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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