MS. STEPHANIE JO EDMONDSON LPC-MHSP NPI 1942523253

NPI Information

NPI: 1942523253
Provider Name: MS. STEPHANIE JO EDMONDSON, LPC-MHSP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
525 CHEROKEE BLVD STE 6
CHATTANOOGA, TN
ZIP 37405
Phone: (423) 284-5926
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MS. Stephanie Jo Edmondson, LPC-MHSP is a mental health counselor in Chattanooga, TN. MS. Stephanie Jo Edmondson, LPC-MHSP NPI is 1942523253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

525 CHEROKEE BLVD STE 6
CHATTANOOGA, TN
ZIP 37405-865
Phone: (423) 284-5926
Fax: (866) 583-8017

The enumeration date for this NPI number is 3/2/2010 and was last updated on 2/18/2020.

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	LPC0000002470	TENNESSEE	No
2	101YM0800X	Counselor	Mental Health	2470	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q001722	MEDICAID	TENNESSEE
2	259422	OTHER		NATIONAL CERTIFICATION

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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