Healthcare Provider Details

I. General information

NPI: 1902602774
Provider Name (Legal Business Name): EDWARDS COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 CONSTITUTION DR STE 106
EXTON PA
19341-1149
US

IV. Provider business mailing address

760 CONSTITUTION DR STE 106
EXTON PA
19341-1149
US

V. Phone/Fax

Practice location:
  • Phone: 484-946-3813
  • Fax: 484-383-1201
Mailing address:
  • Phone: 484-946-3813
  • Fax: 484-383-1201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2472E0500X
TaxonomyEEG Technician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: WENDY L EDWARDS
Title or Position: OWNER/CLINICIAN
Credential: LPC
Phone: 484-946-3813