Provider Demographics
NPI:1891954764
Name:EDWARDS, BRIANA (LPC)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:EDWARDS
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 1:1700 SIDNEY BAKER ST STE 300
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-2668
Mailing Address - Country:US
Mailing Address - Phone:503-956-3382
Mailing Address - Fax:
Practice Address - Street 1:1700 SIDNEY BAKER ST STE 300
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-2668
Practice Address - Country:US
Practice Address - Phone:503-956-3382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2022-09-29
Deactivation Date:2010-07-13
Deactivation Code:
Reactivation Date:2016-12-06
Provider Licenses
StateLicense IDTaxonomies
TX74890101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional