Provider Demographics
NPI:1225200587
Name:EDMONDS, CATHARINE C (LPC)
Entity Type:Individual
Prefix:
First Name:CATHARINE
Middle Name:C
Last Name:EDMONDS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1568
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35602-1568
Mailing Address - Country:US
Mailing Address - Phone:256-270-9483
Mailing Address - Fax:256-325-0340
Practice Address - Street 1:190 LIME QUARRY RD STE 115
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8975
Practice Address - Country:US
Practice Address - Phone:256-270-9483
Practice Address - Fax:256-325-0340
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2563101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health