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NPI Code Detail

MEDICARE: BELINDA KENT EDWARDS M.A., LPC, LAC, ADS

MEDICARE:   BELINDA KENT EDWARDS  M.A., LPC, LAC, ADS
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 Counselor4090LA
2101YA0400XAddiction (Substance Use Disorder) Counselor1218LA
3174400000XSpecialist009LA

General Provider Information

NPI Number : 1407033095
Entity Type Code : Individual
Provider Name (Legal Business Name) : BELINDA KENT EDWARDS M.A., LPC, LAC, ADS
Provider Business Mailing Address
First Line : 160 NICHOLAS COVE RD
Second Line :
City : ANACOCO
State : LA
Zip : 71403-3270
Country : US
Telephone Number : 228-249-2953
Fax Number :
Provider Business Practice Location Address
First Line : 160 NICHOLAS COVE RD
Second Line :
City : ANACOCO
State : LA
Zip : 71403-3270
Country : US
Telephone Number : 228-249-2953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2008
Last Update Date : 07/21/2010

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Directions to “ BELINDA KENT EDWARDS M.A., LPC, LAC, ADS” Practice Location

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