Provider Demographics
NPI:1407033095
Name:EDWARDS, BELINDA KENT (MA, LPC, LAC, ADS)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:KENT
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MA, LPC, LAC, ADS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 NICHOLAS COVE RD
Mailing Address - Street 2:
Mailing Address - City:ANACOCO
Mailing Address - State:LA
Mailing Address - Zip Code:71403-3270
Mailing Address - Country:US
Mailing Address - Phone:228-249-2953
Mailing Address - Fax:
Practice Address - Street 1:160 NICHOLAS COVE RD
Practice Address - Street 2:
Practice Address - City:ANACOCO
Practice Address - State:LA
Practice Address - Zip Code:71403-3270
Practice Address - Country:US
Practice Address - Phone:228-249-2953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4090101YP2500X
LA1218101YA0400X
LA009174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No174400000XOther Service ProvidersSpecialist