MEDICARE: AUBREI EDWARDS PLPC

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
1	101YP2500X	Professional Counselor	PLC11119	LA

General Provider Information

NPI Number	:	1780174920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREI EDWARDS PLPC

Provider Business Mailing Address
First Line	:	348 ROSEDOWN DR
Second Line	:
City	:	LA PLACE
State	:	LA
Zip	:	70068-3326
Country	:	US
Telephone Number	:	504-777-1877
Fax Number	:

Provider Business Practice Location Address
First Line	:	1418 TIGER DR
Second Line	:
City	:	THIBODAUX
State	:	LA
Zip	:	70301-4337
Country	:	US
Telephone Number	:	985-449-4055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2018
Last Update Date	:	04/07/2026

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