MR. DERRICK EDWARDS LPC-MHSP NPI 1720489586

NPI Information

  • NPI: 1720489586
  • Provider Name: MR. DERRICK EDWARDS, LPC-MHSP
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 963 GWYNN LN
    LEBANON, TN
    ZIP 37087
  • Phone: (615) 403-3639

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NPI Details

MR. Derrick Edwards, LPC-MHSP is a professional counselor in Lebanon, TN. MR. Derrick Edwards, LPC-MHSP NPI is 1720489586. 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:

963 GWYNN LN
LEBANON, TN
ZIP 37087-448
Phone: (615) 403-3639

The enumeration date for this NPI number is 9/11/2014 and was last updated on 9/11/2014.

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
1101YP2500XCounselorProfessional3159TENNESSEEYes

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: 11/21/2025

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