Provider Demographics
NPI:1982983151
Name:EDWARDS, NIKIA K (LPC, CSAC, NCC)
Entity Type:Individual
Prefix:
First Name:NIKIA
Middle Name:K
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LPC, CSAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 BELVOIR CIR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-7734
Mailing Address - Country:US
Mailing Address - Phone:757-817-8100
Mailing Address - Fax:
Practice Address - Street 1:875 BELVOIR CIR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-7734
Practice Address - Country:US
Practice Address - Phone:757-817-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004481101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional