NPI | 1467920975 |
---|---|
Professional Name | EDGECARE 360 LLC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007295) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC1900X Psychologist, Counseling (Licence: CSW007295) | |
103TP2701X Psychologist, Group Psychotherapy | |
172V00000X Community Health Worker | |
Enumeration Date | 2018-11-02 |
Last Update Date | 2024-03-28 |