CALVIN AUSTIN EDMUNDSON LPC NPI 1962014175

NPI Information

NPI: 1962014175
Provider Name: CALVIN AUSTIN EDMUNDSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4605 MONTICELLO RD STE 3
COLUMBIA, SC
ZIP 29203
Phone: (803) 754-0151
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Calvin Austin Edmundson, LPC is a professional counselor in Columbia, SC. Calvin Austin Edmundson, LPC NPI is 1962014175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4605 MONTICELLO RD STE 3
COLUMBIA, SC
ZIP 29203-156
Phone: (803) 754-0151
Fax: (803) 691-1778

The enumeration date for this NPI number is 8/19/2020 and was last updated on 8/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	7568	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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