| Erica Edwards Counseling Llc | |
|
3710 Central Ave Ste 9 Kearney NE 68847-8126 | |
| (308) 251-2222 | |
| Not Available |
| Full Name | Erica Edwards Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 3710 Central Ave Ste 9, Kearney, Nebraska |
| Authorized Official Name and Position | Erica Edwards (OWNER) |
| Authorized Official Contact | 3082896884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Edwards Counseling Llc 3710 Central Ave Ste 9 Kearney NE 68847-8126 Ph: (308) 251-2222 | Erica Edwards Counseling Llc 3710 Central Ave Ste 9 Kearney NE 68847-8126 Ph: (308) 251-2222 |
| NPI Number | 1528674223 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 09/17/2020 |
| Certification Date | 09/17/2020 |
| Medicare PECOS PAC ID | 6103236880 |
|---|---|
| Medicare Enrollment ID | O20201109001519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528674223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Erica J Hardessen Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477955813 PECOS PAC ID: 2365732724 Enrollment ID: I20160526001609 |
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