MRS. MARY GAUDEN EDMONSON (NPI# 1881997914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881997914 |
| Entity Type | Individual |
| Full Name | MRS. MARY GAUDEN EDMONSON |
| Credential | MA, LPC, CAC II, LAC |
| Practice Address |
3443 Pelham Rd Ste 200 Greenville SC 29615-4180 |
| Mailing Address |
4 Parkway Commons Greer SC 29650-1971 |
| Practice Telephone | 8646123004 |
| Practice Fax Number | 8645580059 |
| Mailing Telephone | 8646123004 |
| Mailing Fax Number | 8646441001 |
| Enumeration Date | 2010-12-11 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
721 | SC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5173PC | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942755566 | Mary Suzanne Edmonson | Occupational Therapist | 2260 Pool Rd, Grapevine, TX 76051-4278 | 2016-08-24 |
| Street Address |
3443 PELHAM RD STE 200 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112348 | Stacy A Shock | Counselor | 4115 Joe Ramsey Blvd E Apt 258, Greenville, TX 75401-7771 | 2020-10-19 |
| 1174130298 | Emily Zoino | Counselor | 12 Maple Tree Ct Ste 101, Greenville, SC 29615-4079 | 2020-09-24 |
| 1265055149 | Awaken Hope Counseling, LLC | Counselor | 1 Chick Springs Rd Ste 210d, Greenville, SC 29609-4971 | 2020-05-26 |
| 1891333902 | Angel Marie Henning | Counselor | 55 Smith Hines Rd, Greenville, SC 29607-5706 | 2019-12-19 |
| 1124662010 | Ryan N Murphy | Counselor | 2802 Mulberry Ln Apt F, Greenville, NC 27858-7840 | 2019-11-04 |
| 1164076238 | Jessica Nicole Newman | Counselor | 3824 St Augustine Dr, Greenville, NC 27834-1079 | 2019-07-27 |
| 1871145599 | Vanessa Robertson Solis | Counselor | 5503 Kayway Dr, Greenville, TX 75402-6411 | 2019-07-12 |
| 1316404031 | Quinnisha Pollard | Counselor | 49 Orchard Park Dr Apt 85, Greenville, SC 29615-3521 | 2019-02-28 |
| 1710441399 | Joshua Neuer, LLC | Counselor | 207 Mitchell Rd, Greenville, SC 29615-2644 | 2019-01-28 |
| 1881165264 | Samantha Anne Monson | Counselor | 14 Sitka Ave, Greenville, SC 29607-1737 | 2018-12-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on MRS. MARY GAUDEN EDMONSON.
| 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.