| 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 |