MRS. MARY GAUDEN EDMONSON


Address: 3443 Pelham Rd Ste 200, Greenville, SC 29615-4180
Phone: 8646123004

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).

Provider Overview

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

Taxonomy

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

Other Providers MARY EDMONSON

NPI Name Taxonomy Address Enumeration
1942755566 Mary Suzanne Edmonson Occupational Therapist 2260 Pool Rd, Grapevine, TX 76051-4278 2016-08-24

Office Location

Street Address 3443 PELHAM RD STE 200
City GREENVILLE
State SC
Zip Code 29615-4180

Providers in the same zip code

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
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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
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
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Competitor

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City GREENVILLE
Zip Code 29615

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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