ELIZABETH ASHLEY EDOUARD (NPI# 1861031940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861031940 |
| Entity Type | Individual |
| Full Name | ELIZABETH ASHLEY EDOUARD |
| Credential | LPC |
| Practice Address |
3464 Duluth Hwy 120 Duluth GA 30096 |
| Mailing Address |
1090 Charter Club Dr Lawrenceville GA 30043-7506 |
| Practice Telephone | 8627036296 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC009995 | GA | Behavioral Health & Social Service Providers |
| Street Address |
3464 DULUTH HWY 120 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| 1851818579 | Ji A Kim | Pharmacist | 2550 Pleasant Hill Road, Suite 120, Duluth, GA 30096 | 2017-08-23 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796608 | Shakeia Brodie | Counselor | 6290 Abbotts Bridge Rd Ste 304, Duluth, GA 30097-1750 | 2020-09-25 |
| 1891324588 | The Lighthouse Behavior Health Center LLC | Counselor | 4099 Buckingham Pl, Duluth, GA 30096-4271 | 2020-04-03 |
| 1194368860 | Anine Patrice Jensen | Counselor | 101 W 2nd St Ste 101, Duluth, MN 55802-5021 | 2019-10-24 |
| 1043875164 | Individual Services | Counselor | 114 W Superior St, Duluth, MN 55802-3000 | 2019-05-03 |
| 1285107029 | Tanya Zeiliger | Counselor | 2601 Cannon Farm Ln, Duluth, GA 30097-4317 | 2019-01-04 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1720572886 | Jennifer Dreibelbis Hama | Counselor | 3460 Summit Ridge Pkwy Ste 503, Duluth, GA 30096-1621 | 2018-06-21 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1851842553 | Grow Deep Counseling, LLC | Counselor | 4830 River Green Pkwy, Suite 150, Duluth, GA 30096-2505 | 2016-10-18 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on ELIZABETH ASHLEY EDOUARD.
| 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.