Provider Demographics
NPI:1205636644
Name:EDWARDS, CHAUNTOYIA JANAE LAVETTE (NBHWC, CPSS)
Entity type:Individual
Prefix:
First Name:CHAUNTOYIA
Middle Name:JANAE LAVETTE
Last Name:EDWARDS
Suffix:
Gender:
Credentials:NBHWC, CPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 RIVER GROVE WAY APT 603
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2179
Mailing Address - Country:US
Mailing Address - Phone:919-696-0448
Mailing Address - Fax:
Practice Address - Street 1:195 RIVER GROVE WAY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2137
Practice Address - Country:US
Practice Address - Phone:919-696-0448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA-3790214171400000X
171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach