Provider Demographics
NPI:1659836906
Name:EDWARDS, HANNAH-DRIA (MED, LPC)
Entity Type:Individual
Prefix:
First Name:HANNAH-DRIA
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:DRI
Other - Middle Name:
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED, LPC
Mailing Address - Street 1:PO BOX 1674
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:TX
Mailing Address - Zip Code:77535-0028
Mailing Address - Country:US
Mailing Address - Phone:936-337-3225
Mailing Address - Fax:
Practice Address - Street 1:5616 FM 1960 RD E STE 240
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2738
Practice Address - Country:US
Practice Address - Phone:936-337-3225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77626101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional