Healthcare Provider Details

I. General information

NPI: 1699476903
Provider Name (Legal Business Name): ERICH JOSEPH EDWARDS LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 EMERSON AVE
PARKERSBURG WV
26104-2526
US

IV. Provider business mailing address

911 EMERSON AVE
PARKERSBURG WV
26104-2526
US

V. Phone/Fax

Practice location:
  • Phone: 304-865-5444
  • Fax: 304-865-5445
Mailing address:
  • Phone: 304-865-5444
  • Fax: 304-865-5445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberM.2400309
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number913
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: