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NPI Code Detail

MEDICARE: MICHELLE LAVERNE EDWARDS MA, LPC

MEDICARE: MICHELLE LAVERNE EDWARDS MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor18444TX

General Provider Information

NPI Number : 1326915539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LAVERNE EDWARDS MA, LPC
Provider Business Mailing Address
First Line : 1735 KELLER SPRINGS RD STE 202
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-3006
Country : US
Telephone Number : 844-648-2200
Fax Number : 281-648-2200
Provider Business Practice Location Address
First Line : 1735 KELLER SPRINGS RD STE 202
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-3006
Country : US
Telephone Number : 844-824-8775
Fax Number : 281-648-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2025
Last Update Date : 03/06/2026

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