GWENDOLYN T EDMOND


Address: 103 Mercer Dr Ste B, Dublin, GA 31021-4257
Phone: 4782743012

GWENDOLYN T EDMOND (NPI# 1851870331) 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) 1851870331
Entity Type Individual
Full Name GWENDOLYN T EDMOND
Credential LPC
Practice Address 103 Mercer Dr Ste B
Dublin
GA 31021-4257
Mailing Address 2121 Bellevue Rd Ste B
Dublin
GA 31021-2952
Practice Telephone 4782743012
Practice Fax Number 4782747948
Mailing Telephone 4782743012
Mailing Fax Number 4782747948
Enumeration Date 2018-08-07
Last Update Date 2018-08-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC004269 GA Behavioral Health & Social Service Providers

Office Location

Street Address 103 MERCER DR STE B
City DUBLIN
State GA
Zip Code 31021-4257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639797921 April S Phillips Social Worker 103 Mercer Dr Ste B, Dublin, GA 31021-4257 2020-07-13
1053939355 Whitney S Moss Social Worker 103 Mercer Dr Ste B, Dublin, GA 31021-4257 2020-07-13
1457907958 Angela Michelle Street Dietitian, Registered 103 Mercer Dr Ste B, Dublin, GA 31021-4257 2019-08-12

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NPI Name Taxonomy Address Enumeration
1497213748 Ronald E. Johnson Peer Specialist Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 2019-03-06
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1407341522 Empower Psychiatry & Weight Loss, LLC Nurse Practitioner 112 Rowe St Ste B, Dublin, GA 31021 2018-06-30
1619462207 Kara Emily Frost Speech-Language Pathologist 1406 Bellevue Rd, Dublin, GA 31021 2018-06-26
1376035410 Owens Speech Services, LLC Speech-Language Pathologist 401 Barfield Court, Dublin, GA 31021 2018-06-05
1558878884 Tattnall Hospital Company, LLC Neurological Surgery 242 Industrial Blvd, Dublin, GA 31021 2018-01-09
1376991000 Eatonton Facility Development Company, LLC Hospice, Inpatient 155 Greensboro Rd, Eatonton, GA 31021 2016-06-03
1801261177 Jones Community Health Center, LLC Clinic/Center 115 Shadow Pond, Dublin, GA 31021 2015-12-11
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093332900 Angela Charlton Counselor 5166 Baskerville St, Dublin, VA 24084-3645 2020-06-26
1518583624 Robert Moses Spaulding II Counselor 201 Kings Road, Kingswood Subdivision, Dublin, GA 31021-6439 2020-06-24
1811469661 Rachel Mary White Counselor 2121a Bellevue Rd Bldg 4, Dublin, GA 31021-9073 2018-12-18
1215425368 Marisa Rae Chovan Counselor 7614 Mill Bench Ct Apt A, Dublin, OH 43016-9114 2018-04-24
1821517855 Allison K Lombardo Counselor 525 Metro Pl N Ste 300, Dublin, OH 43017-5320 2017-09-11
1629596275 Julie Battaglia Counselor 525 Metro Place, Suite 100, Dublin, OH 43017 2017-09-05
1447773411 Crissy Bontrager Counselor 6047 Frantz Rd Ste 105, Dublin, OH 43017-3365 2017-07-21
1639615792 Serena Fluker Counselor 1041 Maid Marian Ln, Dublin, GA 31021-0690 2017-01-13
1710343645 Safehaven Counseling Services,llc Counselor 2792 Us Highway 80 W, Dublin, GA 31021-0907 2016-01-07
1538534912 Tyrone Gonder Counselor 206 Long Leaf Way, Dublin, GA 31021-1680 2015-12-10
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Competitor

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City DUBLIN
Zip Code 31021

Improve Information

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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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