Healthcare Provider Details

I. General information

NPI: 1548465560
Provider Name (Legal Business Name): AURELIA RENEE EDWARDS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AURELIA RENEE EDWARDS LPCC

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 BOGIE RD SE
RIO RANCHO NM
87124-4103
US

IV. Provider business mailing address

2620 BOGIE RD SE
RIO RANCHO NM
87124-4103
US

V. Phone/Fax

Practice location:
  • Phone: 505-896-1777
  • Fax:
Mailing address:
  • Phone: 505-896-1777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number088861
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0015699
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: