Provider Demographics
NPI:1750494092
Name:EDWARDS, CAROLINE (PSYD, LMFT, CAP)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:PSYD, LMFT, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 SE DOUBLE TREE DR
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-8127
Mailing Address - Country:US
Mailing Address - Phone:772-219-8001
Mailing Address - Fax:772-219-8001
Practice Address - Street 1:819 SE FEDERAL HWY
Practice Address - Street 2:SUITE 200-B
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2952
Practice Address - Country:US
Practice Address - Phone:772-219-9566
Practice Address - Fax:772-219-8001
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 1694106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist