DR. THERESA EDWARDS


Address: 8384 Six Forks Rd, Suite 104, Raleigh, NC 27615-5079
Phone: 9198454550

DR. THERESA EDWARDS (NPI# 1457375495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457375495
Entity Type Individual
Full Name DR. THERESA EDWARDS
Credential PH.D.
Practice Address 8384 Six Forks Rd
Suite 104
Raleigh
NC 27615-5079
Mailing Address Po Box 98273
Raleigh
NC 27624-8273
Practice Telephone 9198454550
Mailing Telephone 9198454550
Enumeration Date 2006-07-26
Last Update Date 2014-01-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1532 NC Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
1532 NC Behavioral Health & Social Service Providers
N 103TS0200X Psychologist
Specialization: School
1532 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC PSYCHOLOGY LICENSE 1532 01
NC BCBS PROVIDER # 0333A 01
NC 6000501 05
NC HEALTH SERVICES PROVIDER NONE 01

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1962875260 Theresa Edwards Social Worker 2925 Russell St, Detroit, MI 48207-4825 2015-11-09
1235424698 Theresa Edwards Counselor 106 Ridgeway St Ste H, Hot Springs, AR 71901-7157 2011-06-14
1396985123 Theresa Edwards Counselor 10 Independence Cir, Chico, CA 95973-0381 2009-03-06
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Office Location

Street Address 8384 SIX FORKS RD
SUITE 104
City RALEIGH
State NC
Zip Code 27615-5079

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255932711 Twanna Monds Counselor 8384 Six Forks Rd, Raleigh, NC 27615-5079 2020-11-02
1780017004 Diane Stakoe Massage Therapist 8384 Six Forks Rd, Suite 203, Raleigh, NC 27615-5079 2013-08-11
1124260682 Rebecca Locklear Pierce Massage Therapist 8384 Six Forks Rd, Suite 203, Raleigh, NC 27615-5079 2009-03-30
1033351598 Elizabeth Stuart Newton Massage Therapist 8384 Six Forks Rd, Suite #203, Raleigh, NC 27615-5079 2009-03-30
1013191295 Clinical Healthcare Incorporated Community/Behavioral Health 8384 Six Forks Rd, Suite 201, Raleigh, NC 27615-5079 2007-12-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588278535 Emily Grace Johnson Behavior Technician 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 2020-09-06
1730706110 Maja V Martin, Dds, Pa1 Clinic/Center 7371 Six Forks Road, Raleigh, NC 27615 2020-07-01
1972146967 Atlantic Avenue Pharmaceutical, Inc Pharmacy 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 2019-10-22
1023503950 Siyara Shannay Dobbs Social Worker 7013 Woodbend Dr Apt H, Raleigh, NC 27615 2018-06-23
1194210153 Brittanie Ja'nell Harris Dentist 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 2018-06-22
1710489448 Sherise Swensen Social Worker 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 2018-03-08
1881100345 Casey Paul Baine Counselor 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 2017-12-20
1588177885 Michael Lacidonia Acupuncturist 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 2017-11-08
1457877631 Matt Henderson Behavioral Analyst 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 2017-08-18
1760907646 Shakeda Muldrow Social Worker 7323 Brookbank Lane, Raleigh, NC 27615 2017-08-11
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

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1194338749 Akaosa Onuma Eleanya Psychologist 4413 Wedgewood Dr, Raleigh, NC 27604-5098 2020-08-24
1164065827 Whitney Beth Griffin Psychologist 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 2019-10-24
1639643281 Cherish Williams Psychologist 9207 Baileywick Rd Ste 203, Raleigh, NC 27615-1976 2019-01-16
1053820720 The Art Counseling L.L.C. Psychologist 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 2017-09-26
1184172603 Amar R Saxena Psychologist 1201 Ridge Trace Dr Apt 205, Raleigh, NC 27606-4373 2016-09-13
1063897932 Brandon Alyn Knettel Psychologist 8405 Dunnington Cir, Raleigh, NC 27613-8592 2015-07-21
1649679077 Megan Pierson Psychologist 3309 Leesville Towns Ct, Raleigh, NC 27613-3403 2014-08-21
1942637905 Jacquelyn Harrison Psychologist 1540 Sunday Dr Ste 200, Raleigh, NC 27607-6000 2013-10-04
1083056352 Kendra R. Mccarty Psychologist 606 Wade Ave Ste 100, Raleigh, NC 27605-1391 2013-07-26
1528409737 Patricia L. Clark Psychologist 117 Tecumseh Ct., Raleigh, NC 27607 2013-07-16
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Competitor

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City RALEIGH
Zip Code 27615

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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